关节镜治疗髋关节撞击综合征的短期临床疗效

Short-term clinical effect of arthroscopy in treatment of femoroacetabular impingement

摘要:

目的 探讨关节镜治疗髋关节撞击综合征（FAI）的短期临床疗效。方法 选取该院2015年8月－2017年8月行髋关节镜治疗的FAI患者30例。其中，男18例，女12例；年龄26～59岁，平均33.85岁。术前髋关节活动度评估：外展（30.75±6.74）°，髋关节屈曲90°位内旋（14.84±8.22）°，屈曲（95.25±13.13）°，术前髋关节Harris评分（32.55±5.62）分，术前视觉模拟评分（VAS）（7.24±2.12）分。结果 30例患者术后均未出现感染，切口Ⅰ级/甲级愈合，无神经和血管损伤，所有患者均获得12～18个月的随访，术后关节疼痛明显改善，基本恢复至健侧关节水平，VAS评分降至（0.76±0.65）分，髋关节屈曲90°位内旋活动度恢复至（46.56±7.62）°，髋关节Harris评分增加到（96.24±3.64）分。结论 关节镜治疗FAI短期临床疗效满意。

Abstract:

Objective To investigate the short-term clinical effect of arthroscopic treatment of femoroacetabular impingement.Methods 30 patients with FAI underwent hip arthroscopy from August 2015 to August 2017 were selected as research subjects. Including 18 males and 12 females, aged 26~59 years, with an average of 33.85 years. Preoperative hip abduction was (30.75 ± 6.74)°, the degree of internal rotation at the position of hip flexion 90° was (14.84 ± 8.22)°, flexion was (95.25 ± 13.13)°, the preoperative Harris hip function score was (32.55 ± 5.62), the preoperative visual analogue scale (VAS) was (7.24 ± 2.12).Results All the 30 patients were followed up for 12 to 18 months. There was no infection in all the patients. The incision I/A healed without nerve and vascular injury. The pain of the joints improved significantly and basically recovered to the level of the uninjured joints. The VAS score decreased to (0.76 ± 0.65), the degree of internal rotation at the position of hip flexion 90°increased to (46.56 ± 7.62)°, and the Haris score increased to (96.24 ± 3.64).Conclusion The short-term clinical effect of arthroscopic treatment of FAI is satisfactory.