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The Clinical Observation of Early Anfh with Oral Capsule of Gushiling and Usingdifferent Diameter Core Decompression Surgery

Author: ChiRenJie
Tutor: WangShuRen
School: Heilongjiang University of Traditional Chinese Medicine
Course: Chinese medicine
Keywords: Avascular necrosis Bone erosion Capsules The marrow core drilling decompression Clinical research
CLC: R681.8
Type: Master's thesis
Year: 2010
Downloads: 16
Quote: 0
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Abstract


Purpose: A retrospective study of oral bone erosion Capsules joint the different caliber pith decompression of the overall efficacy of the treatment of avascular necrosis, and effective follow-up of cases in different stages, different age groups, different causes, different course and different lesions site effects were compared, sum up experience, to provide an objective basis for the avascular necrosis Paul head treatment. Methods: firstly, that the inclusion and exclusion criteria in our hospital during the period from October 2007 to March 2009, in line with the ARCO clinical stage Ⅰ ~ Ⅱ, were treated with oral bone erosion Capsules Joint 4.8mm diameter and 8mm caliber pith Less pressure to complete the surgery, and post-discharge continuity follow-up of patients each were randomly selected from 29 cases and 31 cases. In all cases after 15 days, 3 months, 6 months, and the second 12 months later, a total of 12 months, review the examination, hip X-ray and MRI, the use including the home visit, telephone return visit and survey form to complete scheduled OUTCOME MEASURES collection. Clinical evaluation reference Harris hip function scoring system ratings comparison: the various stages of treatment effect and overall excellent rate, the different stages of necrosis of the femoral head, age, duration of clinical efficacy difference. Imaging evaluation, based on preoperative and postoperative X-ray and MRI imaging data, and compare the preoperative femoral head necrosis after area changes, the evaluation of two treatments for avascular necrosis of the treatment effect. Clinical efficacy of statistical processing and analysis, test different packet OUTCOME MEASURES Is there a significant difference, in order to make further analysis and conclusions. Results: Clinical evaluation of overall good rate of 68.3%, clinical effective rate of 90.0%. Where ARCO stage: I, 11 cases, good rate 81.8%, 49 stage II, good rate of 65.3%. Comparative analysis I and II of Harris score was no significant difference; Age: 18 to 35-year-old group, 9 patients, good rate of 55.6%, 81.8% of the 35 to 50 age group 33 cases, good rate, the group of 18 patients over the age of 50, excellent rate of 50.0%, can be seen 35 to 50 age group patients were significantly better than the other two groups of patients; course: Within 1 year 12 cases, good rate of 75.0%, 1-3 years 35 cases, good rate of 68.6%, 3 years 13 cases, good rate of 61.5%, group duration of one year or less effective than 1-3 years Group: 1-3 years duration group than the group more than three years. Conclusions: 1. Oral osteolytic Ling Capsule joint core decompression is the treatment of ARCO clinical stage Ⅰ ~ Ⅱ avascular necrosis safe and effective method, 8mm on the clinical efficacy of the treatment group is better than 4.8mm treatment groups; 2. the oral bone erosion Ling Capsule Combined with core decompression for the short duration of time, the age of patients with a significant effect of the 35 to 50 age group; 3. oral osteolytic Ling Capsule joint core decompression and bone graft surgery process short time ( unilateral suffering from hip surgery operation time is about 10 minutes), pain, patient compliance, etc.; 4. oral osteolytic Ling Capsule joint core decompression hip damage to surrounding tissue, to ensure joint and femoral head original blood supply; 5 bone erosion Capsules helps decompression to improve blood supply of the bone around the channel, qi and blood circulation, dredge the context of the effect of new blood stasis and students, the clinical efficacy of the birth of new bone.

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Bone diseases > Lower limb
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