关节镜下治疗髋关节撞击综合征的近期疗效观察

发布时间：2018-02-01 15:50

本文关键词： 髋关节撞击综合征关节镜微创技术　出处：《中国修复重建外科杂志》2016年01期 　论文类型：期刊论文

【摘要】：目的探讨关节镜下治疗髋关节撞击综合征(femoroacetabular impingement,FAI)的近期疗效。方法回顾分析2012年2月-2014年6月收治的17例(17髋)FAI患者临床资料。其中男12例,女5例;年龄18~60岁,平均37.2岁。左髋9例,右髋8例。患者主要临床症状为髋部腹股沟处疼痛。髋部疼痛不适症状持续12~24个月,平均15个月。髋关节活动度无明显受限,深度屈曲及内旋可明显诱发疼痛。撞击试验与Faber试验阳性。X线片分期:早期8例,中期8例,晚期1例。根据解剖形态分型:凸轮型撞击6例,钳夹型撞击3例,混合型撞击8例;根据分型分别于关节镜下行股骨头成型术、髋臼成型术以及髋臼成型联合股骨头成型术。结果术后患者切口均Ⅰ期愈合。1例术后大腿外侧感觉麻木,2周后症状自行消失。患者均获随访,随访时间1~2年,平均1.3年。患者髋部疼痛症状较术前明显缓解。术后6周、3个月、1年改良Harris评分分别为(91.44±1.98)、(95.83±0.53)、(95.33±2.43)分,术后各时间点均较术前(79.01±3.20)分,显著提高(P0.05),术后3个月及1年较6周时显著增加(P0.05),术后3个月与术后1年比较差异无统计学意义(P0.05)。结论关节镜下治疗FAI能明显缓解髋部疼痛,明确诊断、早期发现、微创治疗是获得满意疗效的关键。
[Abstract]:Objective to investigate the arthroscopic treatment of femoroacetabular impingement in hip impingement syndrome. Methods the clinical data of 17 patients with FAI from February 2012 to June 2014 were retrospectively analyzed, including 12 males and 5 females. The age was 1860 years (mean 37.2 years). There were 9 cases of left hip and 8 cases of right hip. The main clinical symptoms were hip groin pain. The symptoms of hip pain and discomfort lasted 12 ~ 24 months. The average was 15 months. The motion of hip joint was not significantly limited, and deep flexion and internal rotation could induce pain. The impact test and Faber test showed positive. X ray staging: early stage 8 cases, middle stage 8 cases. According to anatomical classification, 6 cases of cam impact, 3 cases of clamp impact and 8 cases of mixed impact. According to the classification, femoral head formation, acetabular formation and acetabular formation combined with femoral head formation were performed under arthroscopy respectively. The patients were followed up for 1 ~ 2 years (mean 1.3 years). The symptoms of hip pain in the patients were significantly relieved than those before operation. The patients were followed up for 6 weeks and 3 months after operation. The 1-year modified Harris score was 91.44 卤1.98, 95. 83 卤0. 53, and 95. 33 卤2. 43, respectively. All the postoperative time points were 79.01 卤3.20 points higher than those before operation (P 0.05), 3 months and 1 year after operation compared with 6 weeks (P 0.05) (P < 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05). There was no significant difference between 3 months after operation and 1 year after operation (P 0.05). Conclusion arthroscopic treatment of FAI can significantly relieve hip pain, definite diagnosis and early detection. Minimally invasive therapy is the key to satisfactory curative effect.
【作者单位】：南方医科大学第三附属医院骨科中心广东省骨科研究院;
【基金】：广东省医学科研基金资助项目(A2012374)~~
【分类号】：R687.4
【正文快照】： 髋关节撞击综合征(femoroacetabular impinge-ment,FAI)是指因股骨近端和髋臼盂缘间解剖异常,或两者解剖结构正常但长期不正常外力作用于髋关节,导致两者不正常接触、碰撞,产生反复的微型创伤,致使关节盂缘和关节软骨退变,从而引起的一系列临床症状[1]。FAI是髋关节退行性骨关

【相似文献】