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目的:观察髓芯减压术,配合中药内服治疗成人股骨头缺血性坏死的临床疗效。方法:将符合诊断的60例股骨头缺血性坏死患者随机分为治疗组30例和对照组30例。对照组采用髓芯减压术及常规术后处理。治疗组在对照组基础上予以中药内服治疗,对两组病例的疗效及并发症进行总结和随访。结果:60例病例全部得到随访,治疗组在综合疗效中的优良率及总有效率方面均明显优于对照组(P<0.05),且在随访疗效中,亦有显著性优势(P<0.05)。结论:中药内服配合髓芯减压术治疗股骨头缺血性坏死,能促进坏死区域的血液循环,减少并发症的发生,减轻患者临床症状。
Objective: To observe the clinical effect of core decompression and internal medicine treatment of adult femoral head avascular necrosis. Methods: Sixty patients diagnosed as avascular necrosis of the femoral head were randomly divided into treatment group (30 cases) and control group (30 cases). Control group using core decompression and conventional postoperative treatment. The treatment group was treated with Chinese medicine on the basis of the control group, and the curative effect and complications of the two groups were summarized and followed up. Results: All the 60 cases were followed up. The excellent and good rate and the total effective rate of the treatment group were significantly better than those of the control group (P <0.05), and there was also a significant advantage in follow-up efficacy (P <0.05 ). Conclusion: The treatment of avascular necrosis of the femoral head by oral administration of Chinese herbs combined with core decompression can promote the blood circulation in the necrotic area, reduce the incidence of complications and reduce the clinical symptoms.