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儿童股骨头缺血性坏死,也称Legg—Calve—Perths病或股骨头骨骺骨软骨病、扁平髋等。由于其病因不明,故命名和治疗亦不相同。近年来,国内外学者对其发病原因、早期诊断和治疗进行了多方面的研究,不少学者认为:股骨头骨骺缺血的主要原因系股骨头动静脉的直接损伤、关节内压或骨髓内压的增高所致。故针对此病,在临床中施行了一些新的治疗方法,收到较好的效果。我科自1983—1988年共收治15例,采用滑膜切除加干骺至骨骺方向钻孔、血管束植入治疗股骨头缺血性坏死7例,随访一年以上,效果较好,报告如下。
Children with avascular necrosis of the femoral head, also known as Legg-Calve-Perths disease or epiphyseal osteochondrosis, flat hip and so on. Because of its etiology, so the name and treatment are not the same. In recent years, domestic and foreign scholars on its causes, early diagnosis and treatment of many aspects of research, many scholars believe that: the main reason for the femoral head epiphyseal fractures of the femoral head artery and vein direct injury, intra-articular pressure or intramedullary Pressure caused by the increase. Therefore, for the disease, some new treatments have been implemented in the clinic and received good results. Our department from 1983 to 1988, a total of 15 cases were treated with synovial resection plus epiphyseal epiphyseal direction drilling, vascular bundle implantation in the treatment of avascular necrosis 7 cases, followed up for more than one year, the effect is better, the report is as follows .