探讨经股动脉介入治疗股骨头无菌性坏死(ANFH)的临床疗效。

回顾性分析2012年2月—2014年2月我科收治的43例ANFH患者的临床资料，所有患者均采用Seldinger穿刺技术经股动脉穿刺注入溶栓、扩血管等药物。

本组43例ANFH患者共计46个髋经股动脉介入治疗后，髋部疼痛消失28个、明显减轻11个、减轻7个；治疗后综合评价：正常29个、Ⅰ级8个、Ⅱ级5个、Ⅲ级2个、无变化或加重2个，好转率95.6%（44/46）。

经股动脉穿刺注入溶栓、扩血管等药物治疗ANFH，可促进股骨头的新生骨形成和死骨的吸收，促进股骨头修复，说明此法对改善股骨头的血液供应具有重要的临床疗效。

To investigate the clinical effect of interventional treatment of femoral head aseptic necrosis (ANFH) by femoral artery.

A retrospective analysis was made on February 2012 to February 2014 in our department from 43 cases of femoral aseptic necrosis of femoral head. The patients clinical data, all patients are used Seldinger technique to thrombolysis and vasodilator drugs injected into femoral artery puncture.

This group of 43 cases of femoral head aseptic necrosis patients, 46 patients with hip femoral artery interventional therapy, pain disappeared in 28 cases, significantly reduced in 11 cases, relieved in 7 cases; after treatment, the integrated evaluation: normal 29, grade I 8, II grade 5, grade Ⅲ 2, no change or increase 2, improved rate was 95.6% (44/46).

Via femoral artery puncture injection thrombolysis and vasodilator drug treatment of ANFH can promote new bone of the femoral head formation and dead bone absorption, for the repair of femoral head to an important role, shows the method to improve the blood supply of the femoral head has important clinical curative effect.