OBJECTIVE To study the clinical effect of interventional therapy with Chinese and Western medicine for avascular necrosis of femoral head (ANFH). METHODS A total of 168 ANFH patients (285 hips) were subjected to interventional therapy with Chinese and Western medicine (prostaglandin E1 injection, uroki-nase and Compound Danshen Injection) and examined by digital substruction arterography (DSA) before and after treatment. The imaging of DSA and clinical effect were observed and compared. RESULTS After treatment, hip pain and joint dysfunction were alleviated to different degrees, and the blood vessel count shown by DSA significantly increased. The effect was obviously better in patients of Grade III than in those of other grades. CONCLUSION Interventional therapy with Chinese and Western medicine could improve the blood circulation of the femoral head, and is an effective method for the treatment of ANFH.

Objective:To evaluate the MRI sign of early corticosteroids-induced avascular necrosis of femoral head and the relationship between avascular necrosis of femoral head and total dosage,maximal daily dosage,course of using corticosteroids.Materials and methods:108 cases with heavy corticosteroids in a short period were enrolled,all examined with plain film and MRI.Analyze obtained image characteristics and the relationship between corticosteroids and avascular necrosis with statistical method.Results:Among the 108 cases,35cases show MRI abnormalities and all negative with plain films.There are statistical significance between avascular necrosis of femoral head and total dosage,maximal daily dosage,course of using corticosteroids.Conclusion:MRI can diagnose early avascular necrosis of femoral head,the single and double line sign have specificity.Corticosteroids can induce avascular necrosis of femoral head.

患者女,33岁.上腹部包块10年余.活动后感面部潮红.体检:Bp 100 mmHg/60 mmHg(1 mmHg=0.133 kPa).上腹部可扪及10.0 cm×7.0 cm的包块,质中,活动可.

患者 男,7岁.无明显诱因头昏3个月,加重1周入院.体检:四肢肌力Ⅲ级,WBC 15.9 g/l, PLT 34 g/l.