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-  2016 

关节镜下治疗髋关节撞击综合征的近期疗效观察

DOI: doi:10.7507/1002-1892.20160005

Keywords: 髋关节撞击综合征, 关节镜, 微创技术

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Abstract:

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(P<0.05),术后3个月及1年较6周时显著增加(P<0.05),术后3个月与术后1年比较差异无统计学意义(P>0.05)。 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

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