髋关节镜下治疗髋臼盂唇钙化性疾病的疗效分析
DOI:
作者:
作者单位:

1.西安交通大学附属红会医院运动医学诊疗中心;2.西安交通大学附属红会医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Effect of hip arthroscopy on calcification of acetabular labrum
Author:
Affiliation:

1.Department of Sports Medicine,honghui hospital,Xi'2.'3.an Jiaotong University

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 探讨髋关节镜微创技术治疗髋关节盂唇钙化性疾病的临床应用及疗效分析。方法 共有6例病例入选本研究,入选病例术前均经X线、CT、MRI诊断为髋关节盂唇部钙化。术前对患髋行ɑ角、CE角测量,所有病例均经髋关节镜手术证实为盂唇钙化,手术采用髋关节镜下盂唇钙化灶清理,盂唇缝合术,对存在FAI的病例行Pincer及Cam成形术。根据VAS及改良Harris评分评定手术疗效,平均随访6月。结果 6例患者均得到全程随访,术前患髋平均ɑ角56.2度,5例ɑ角>55度。患者术后髋关节功能改善明显,生活质量明显提高,术后6月,6例髋关节病例患者VAS评分由术前平均7.6分降低到术后平均1.8分(p<0.01),Harris评分由术前63.3分增加到术后的86.1分(p<0.01)。结论 髋关节盂唇钙化是一种可引起髋关节疼痛的退行性疾病,极其罕见,病因未明,无特异性症状及体征,髋关节镜可通过微创治疗的方式,彻底清理病灶,缝合盂唇,有效提高患者生活质量,但髋关节盂唇钙化性疾病的病因、非干预下疾病进展及镜下治疗的长期疗效仍有待进一步研究及观察。

    Abstract:

    Objective To investigate the clinical application and effect of hip arthroscopy minimally invasive technique in the treatment of calcified diseases of glenoid lip of hip joint.Methods Six cases were selected in this study. All the cases were diagnosed as calcification of acetabular labrum by X-ray, CT and MRI before operation. The ɑ angle of hip and CE angle were measured before operation. All cases were confirmed to be calcification of acetabular labrum by hip arthroscopy, and the Calcification foci of glenoid lip was cleaned under hip arthroscopy and suture of acetabular labrum was performed.Pincer and Cam deformity was performed in patients with FAI. The results were evaluated according to VAS and Harris scores, and the average follow-up was 6 months.Results All patients were followed up all the way, the average ɑ angle was 56.2 degrees before operation, and the angle of 5 patients was more than 55 degrees. Patients had significantly improved hip function and greatly improved quality of life after operation. For 6 months after operation, six hip VAS scores decreased from a preoperative average of 7.6 points to a postoperative average of 1.8 points ( p <0.01), and Harris scores increased from a preoperative 63.3 points to a postoperative 86.1 points (p <0.01).Conclusion Calcification of acetabular labrum is a kind of degenerative disease which can cause hip pain, which is extremely rare, with unknown etiology, no specific symptoms and sign. Hip arthroscopy can clean up the lesion thoroughly and suture the acetabular labrum, effectively improve the quality of life of patients, but the etiology of calcification of hip pelvic lip, the progression of non-interventional disease and the long-term effect of endoscopic treatment still need further study and observation.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-01-04
  • 最后修改日期:2020-03-20
  • 录用日期:2020-04-01
  • 在线发布日期:
  • 出版日期: