股骨头坏死（ONFH）是骨科常见疑难病，股骨头血供与骨坏死-骨坏死进展-骨修复等病理过程密切相关，是骨坏死发生发展的核心环节。血管介入治疗作为一种新兴的ONFH保髋治疗技术，是以改善股骨头内血液循环及周围坏死区微环境为目的的微创治疗方法，正逐渐获得越来越多的骨科医生认可。鉴于血管介入治疗临床应用越来越广泛，但目前尚无相关共识或指南详细规范其临床应用，本项目组基于文献计量法、共识会议法、名义群体法等方法，总结分析血管介入治疗ONFH研究现状，整合专家建议，形成ONFH血管介入治疗专家共识，规范血管介入适应证、禁忌证、药物选择、介入操作、并发症处理，旨在提高临床疗效，避免和减少不良反应发生。

Osteonecrosis of the femoral head (ONFH) is a complex and challenging condition in orthopedic practice. Its pathogenesis is centered on the closely linked pathological processes of femoral head blood supply, bone necrosis progression, and bone repair. Interventional vascular therapy has emerged as a minimally invasive and hip-preserving treatment modality aimed at improving intraosseous blood circulation and the microenvironment within the necrotic region. This approach is gaining increasing recognition among orthopedic surgeons. Despite its extensive clinical application, there is currently a lack of expert consensus or guidelines to standardize the implementation of interventional vascular therapy for ONFH. To address this gap, this research group employed methodologies including bibliometric analysis, consensus conferences, and the Nominal Group Technique to comprehensively review and analyze the current state of research on interventional vascular therapy for osteonecrosis of the femoral head. By integrating expert recommendations, we have thus developed the China expert consensus on interventional vascular therapy of osteonecrosis of the femoral head. This consensus formalizes key aspects of the procedure, including indications, contraindications, pharmacological selection, interventional techniques, and complication management, with the ultimate goals of enhancing clinical efficacy and preventing and reducing adverse effects.