髋关节镜术治疗髋关节病变初步观察  

Preliminary study of arthroscopy in the treatment of hip joint disease.

作　　者：李卫平[1] 刘尚礼[1] 林道贤[1] 李春海[1] 宋卫东[1] 陈瑞强[1] 黄建荣[1] 何杰民[1] 

机构地区：[1]广州中山大学附属第二医院骨科部,广州510120

出　　处：《中国微创外科杂志》2002年第z1期84-85,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨髋关节镜术在治疗髋关节疾病中的应用价值。　方法　在C臂X光机透视下对 16例髋关节病变患者进行关节镜检查及治疗 ,根据术前及术后Harris髋关节评分判断手术疗效。　结果　Harris髋关节评分术前 (49 0± 6 3)分 ,术后 (84 0± 3 6 )分 ,手术前、后Harris评分有显著性差异(t=4 81,P <0 0 0 1)。术中及术后无并发症发生 ,平均住院 12 6天 ,随访 6月～ 2 2月。　结论　髋关节镜手术具有损伤小、恢复快的优点 ,对减轻髋关节疼痛、改善关节功能有明显的近期疗效 ,其远期疗效有待进一步观察。Objective To explore the clinical value of hip joint arthroscopy and its short-term curative effect. Methods Monitored by C-arm X-ray, 16 cases of hip joint disease accepted arthroscopic examination and treatment. According to Harris evaluating criteria, the results were assessed. Results The preoperative and postoperative Harris score was (49 0±6 3)points and(84 0±3 6)points respectively, and there was statistical difference between the preoperative and postoperative Harris score ( t =4 81, P <0 001). No complication occurred in all of the 16 patients. The average hospitalization time was 12 6 days and the follow-up period was 6 months～22 months. Conclusions Hip joint arthroscopy, which can confirm diagnosis, has obvious short-time effect in treating joint pain and improving its function. Arthroscopy has several advantages such as favorable effect, minimal invasion and quicker recovery as well. The long-term effect needs to be determined yet.

关 键 词：髋关节 关节镜 治疗 

分 类 号：R684[医药卫生—骨科学]