髋关节镜下矫形联合PRP血浆治疗股骨髋臼撞击综合征的早期临床疗效
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1.单县中心医院;2.青岛大学附属医院

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髋关节镜下联合富血小板血浆治疗股骨髋臼撞击综合征


The early clinical effect of hip arthroscopic correction combined with PRP plasma in the treatment of femoral acetabular impingement syndrome
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Affiliation:

1.shanxian central hospital;2.Qingdao University Affiliated Hospital

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Hip arthroscopic treatment of femoral acetabular impingement syndrome with platelet-rich plasma

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    摘要:

    摘要:目的 本项研究旨在探讨髋关节镜下矫形手术联合应用富含血小板的血浆(Platelet-rich plasma,PRP)治疗股骨髋臼撞击综合征(Femoroacetabular impingement,FAI)的早期临床效果。方法 这是一项回顾性临床研究,于2019年1月—2022年1月于单县中心医院关节外科搜集确诊为股骨髋臼撞击综合征病例共32例,将其分为两组,将其分为实验组17例,男8例,女9例(髋关节镜手术联合注射PRP血浆)和对照组15例,男7例,女8例(髋关节镜手术联合注射同样剂量生理盐水作为对照)。两组患者分别在术前及术后 1天、2天、4天、1周、2周、4周、6周、3个月、6 个月、1 年评估对患者进行改良Harris髋关节评分(mHHS)、VAS疼痛评分、满意度评分、LCE、offset、Tonni's分级、α角等数据资料进行统计以评估临床疗效,平均随访时间11.8±3.4个月。结果 术后所有病例均获得随访,结果表明术前两组一般资料如性别、年龄、BMI、Tonni's分级等相比无统计学差异(P>0.05),两组患者术后髋关节α角、LCEA、Offset值及均较术前有显著改善( P<0.05),两组间比较无明显差异(P>0.05);术后实验组1天、2天、4天、1周、2周、4周改良Harris髋关节评分(mHHS)、VAS疼痛评分、患者满意度评分均显著优于对照组(P<0.05),而术后6周、3月、6月、1年两者相比无统计学差异(P>0.05)。结论 髋关节镜下矫形联合PRP治疗FAI早期可提高患者临床疗效及满意度,安全性较高,可为临床提供一定参考。

    Abstract:

    Abstract: objective to investigate the early clinical effects of arthroscopic orthopedic surgery combined with Platelet-rich plasma (PRP) in the treatment of Femoroacetabular impingement (FAI) . Methods: from January 2019 to January 2022, a total of 32 patients with acetabular impingement syndrome were collected from the Department of Joint Surgery, Shan County Central Hospital and divided into two groups, they were divided into experimental group (n = 17,8 males and 9 females) and control group (n = 15,7 males) , 8 female patients (control group) received the same dose of saline combined with hip arthroscopic surgery. The clinical effects were evaluated with modified Harris hip score (MHHS) , Vas pain score, satisfaction score, LCE, offset, Tonni's classification, alpha angle and other data before and 1 day, 2 days, 4 days, 4 weeks, 6 weeks, 3 months, 6 months and 1 year after operation, the mean follow-up time was 11.8 ± 3.4 months. Results: all patients were followed up after operation. The results showed that there was no significant difference in general data such as sex, age, BMI and Tonni's grade between the two groups before operation (P > 0.05) , the values of α-angle, LCEA and Offset of hip joint in the two groups were significantly improved after operation (p < 0.05) , and there was no significant difference between the two groups (P > 0.05) The Modified Harris hip score (MHHS) , Vas pain score and patient satisfaction score in the experimental group were significantly better than those in the control group at 1 day, 2 days, 4 days, 1 week, 2 weeks and 4 weeks after operation (p < 0.05) , there was no significant difference between the two groups at 6 weeks, 3 months, 6 months and 1 year after operation (P > 0.05) . Conclusion: arthroscopic hip arthroplasty combined with PRP in the treatment of FAI can improve the clinical efficacy and satisfaction of patients in the early stage, and the safety is high, which can provide some reference for clinical practice.

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  • 收稿日期:2022-11-10
  • 最后修改日期:2023-02-03
  • 录用日期:2023-03-21
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