高压氧治疗减压性骨坏死的疗效探讨

摘要

目的 探讨高压氧(HBO)治疗减压性骨坏死的疗效及主要影响因素.方法 13例男性减压性骨坏死患者,在HBO治疗前后,比较临床症状及X线改变.结果 本组病例骨坏死病变集中于股骨、肱骨及胫骨,股骨头/颈和肱骨头最多见.HBO疗效与治疗时程密切相关.结论 HBO治疗减压性骨坏死显示积极的疗效,长期、规范的HBO治疗是提高本病治疗效果的关键.%Objective To explore effect of hyperbaric oxygen therapy on dysbaric osteonecrosis.Methods Thirteen male patients with dysbaric osteonecrosis were given hyperbaric oxygen therapy, and symptoms and changes in X-ray films were compared pre and post HBO therapy. Results In the 13 cases,pathological changes due to osteonecrosis were detected in femur, humerus and cnemis, with femoral headeck and humeral head being the most common sites. The therapeutic effect of HBO was closely related with the course of HBO therapy. Conclusions HBO therapy had positive effects on dysbaric osteonecrosis, however,long and regular treatment was the key to the enhancement of a desirable therapeutic effect.