Steroid-induced avascular necrosis of the femoral head in the early dialectical therapy and Clinical Evaluation
WANG Mei*,ZHANG Miao-lin.*Yuhang Hospital,The Clinical Medical School of Hangzhou Teachers college,Hangzhou 311100,Zhejiang,China
Objective:Using Chinese medicine dialectical to improve the treatment of early necrosis of the femoral head,at the same time we hope to perfect the system of the efficacy of Evaluation.So the system will be more comprehensive.Methods:We chose 60 cases of Steroid-induced avascular necrosis of the femoral head(SANFH)patients Since August 2004 to August 2009,according to ARCO,ⅠandⅡtype was early necrosis of the femoral head,all patients were randomly divided into control group of 30 patients and the treatment group of 30 patients.The control group of 30 patients were used in the treatment of Huogutang,two times per day,continued for six months,at last six months used Chinese medicine pill.the treatment group have adopted myeloid core decompression of the femoral head,and then under the Chinese dialectical type,use huogutang and buyiganshen,the dosed medicine as the same.the treatment group have adopted myeloid core decompression of the femoral head,and then under the Chinese dialectical type,use huogutang and buyiganshen,the dosed medicine as the same.All patients would be chected X-ray every three months,six months after treatment,1,1.5,2-year follow-up would be reviewed of the clinical evaluation,and the annual inspection of MR.We chose the one-year follow-up results to be this clinical trial results.Results:In clinical symptoms,signs and X-ray performance improvements,the treatment group was significantly better than the control group(P0.01).treatment compared with the controlled type and treatment type was a very significant differences(P0.01).In the bone to reduce pressure and improvecirculation within the bone,and promote restoration of the femoral head("Line-sign",bone marrow edema),the treatment group was better than the control group(P0.05).Conclusion:Early(Ⅰ,Ⅱ)SANFH using Huogutangjiajian dialectical therapy have improved the clinical symptoms and X-ray changes of significant.Huogutang combined with myeloid core decompression of the femoral head can improve the blood supply of femoral head,compressed the pressure of bone.and then use bone graft supply sustentation of bone,prevent cartilage sink.compared with clinical effect、x ray effect、bone marrow edema and Line-sign of MRI effect,the clinical effect is significant than single use Chinese medicine.
【CateGory Index】： R687.3