中国康复2026，Vol.41Issue(1)：31-37,7.DOI:10.3870/zgkf.2026.01.006
聚焦式冲击波对股骨头坏死早期和中期疗效的比较
Comparative study on the clinical efficacy of focused shock wave on patients with early and intermediate stages of femo-ral head necrosis
摘要
Abstract
Objective:To compare the clinical efficacy of focused extracorporeal shock wave therapy(fESWT)in the treatment of patients with early and intermediate stages of osteonecrosis of the femoral head(ONFH).Methods:A total of 60 ONFH patients who underwent fESWT treatment in Rehabilitation Department of The First Affiliated Hospital of Hebei Northern University were screened.According to the Association Research Circulation Osseous(ARCO)staging system,the patients were divided into an early-stage group(n=30)and an intermediate-stage group(n=30).The visual analog scale(VAS)for pain,Harris Hip Score(HHS),bone marrow edema(BME),and necrotic area were compared between the two groups.Results:Before treatment,the VAS scores and BME scores in the early-stage group were significantly lower than those in the intermediate-stage group(P＜0.01),and the HHS score was significantly higher than that in the intermediate-stage group(P＜0.01).After treatment,the VAS and BME scores in both the early-stage and intermediate-stage groups were significantly lower than those be-fore treatment(P＜0.01),and the HHS score was significantly higher than before treatment(P＜0.01).The differences in VAS,HHS,and BME scores before and after treatment in the early-stage group were significantly greater than those in the intermediate-stage group(P＜0.01).Conclusion:Focused shockwave therapy can improve clinical symptoms,restore hip joint function,and promote the absorption of bone marrow edema in the early and in-termediate stages of femoral head necrosis,with better efficacy in the early stage than in the intermediate stage.关键词
股骨头坏死/聚焦式冲击波/早期/中期/疗效Key words
osteonecrosis of the femoral head/fo-cused shockwave therapy/early and intermediate sta-ges/efficacy comparison分类
医药卫生引用本文复制引用
常永霞,田龙,曲淑婕,王晓娜,郎晓燕,王殷,孟海超,戈蕾,张春玲,王正田..聚焦式冲击波对股骨头坏死早期和中期疗效的比较[J].中国康复,2026,41(1):31-37,7.基金项目
河北省重点研发计划项目(22377778D) （22377778D）
