目的:探讨针刀治疗缺血性股骨头坏死的机理和方法。方法:治疗观察1162例缺血性股骨头坏死患者;所有患者均采取针刀治疗、并进行个体化的康复治疗、功能锻炼,疗程1年;治疗12个月时分别进行自身对照。结果:总有效率91．4％。结论:以针刀为主治疗缺血性股骨头坏死可明显改善症状、功能、抑制病情发展,促进股骨头的修复,同时在治疗经济学方面有着明显的优势,尤其适宜于早期、儿童及青壮年患者。

Objective: exploring the mechanism and techniques in treating ischemia necrosis of the femoral head using acupotomy. Method: clinical treatment of 1,162 patients, using acupotomy, along with individualized rehab therapy and exercise for one year. In the 12th month, a self-comparison is made. Results: acupotomy works well on 91.4% of the patients treated. Conclusion: treating ischemia necrosis of the femoral head using acupotomy can noticeably alleviate symptoms, improve functions, slow down the progress of disease, and encourage the self-repair of the femoral head. In the meanwhile, the therapy enjoys a noticeable strength in pharmaco-economics. It is desirable for teenage and young patients in particular, and for the patients in their early stage as well.