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-  2017 

关节镜下治疗髋关节滑膜软骨瘤的疗效观察

DOI: doi:10.7507/1002-1892.201704006

Keywords: 髋关节, 滑膜软骨瘤, 关节镜

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Abstract:

目的 总结关节镜下治疗髋关节滑膜软骨瘤的疗效。 方法 2012 年 4 月—2015 年 9 月,共 32 例髋关节滑膜软骨瘤患者于关节镜下行清除术。男 19 例,女 13 例;年龄 22~64 岁,平均 42.1 岁。左髋 17 例,右髋 15 例。患者主要临床表现为髋关节疼痛、肿胀,其中合并髋关节绞锁 6 例,下肢无力 2 例,髋关节弹响 1 例。“4”字试验阳性 9 例,Thomas 征阳性 4 例,屈曲滚动试验阳性 2 例。 结果 术后切口均Ⅰ期愈合。患者均获随访,随访时间 16~48 个月,平均 33.8 个月。患者疼痛症状均明显缓解或消失,VAS 评分由术前的(4.8±1.2)分降至末次随访时的(1.4±0.8)分,比较差异有统计学意义(t=6.382,P=0.013);髋关节功能明显恢复,Harris 评分由术前的(63.2±8.3)分提高至末次随访时的(92.6±6.7)分,比较差异有统计学意义(t=9.761,P=0.006)。末次随访时 3 例“4”字试验阳性,1 例 Thomas 征阳性,其余患者无明显阳性体征。X 线片复查示患者均无复发征象。 结论 关节镜下治疗髋关节滑膜软骨瘤创伤小、清理彻底、术后恢复快,近期疗效确切

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