两种闭孔神经切断术治疗髋关节疼痛性疾病的疗效分析  

Therapeutic effects analysis of two resections of the obturator nerve for treatment of pain of the hip joint

作　　者：陆慧[1] 倪卫东[1] 梁熙[1] 高仕长[1] 

机构地区：[1]重庆医科大学附属第一医院骨科,重庆400016

出　　处：《重庆医科大学学报》2008年第3期370-372,共3页Journal of Chongqing Medical University

摘　　要：目的:分析盆内法与盆外法两种闭孔神经切断术治疗髋关节疼痛性疾病的疗效。方法:78例髋关节疼痛性疾病患者按照就诊时间的先后随机分为A、B两组,分别采用经盆内闭孔神经切断术和盆外闭孔神经切断术2种方法治疗并密切随访;根据Harris标准对其随访结果按优、良、可、差4个等级进行评估,由此评价这2种方法的疗效差异。结果:术后2周和术后3年的随访结果均表明2种方法有显著性差异(P<0.05),但是随着时间延长,其疗效均逐渐降低。结论:闭孔神经切断术能较好地减轻髋关节疼痛,且盆内法优于盆外法。Objective：To analyze the therapeutic effects of two resections of the obturator nerve for treatment of the pain of the hip joint. Methods：78 patients with painful hip joint were selected and divided randomly into two groups,group A and group B,in the order of attendance and treated through the in-pelvis and the out-pelvis approaches separately,then followed up closely. The results were accessed according to the Harris score. And the differences of therapeutic effects between the two approaches could be evaluated. Results：Significant differences exits between the therapeutic effects by two approaches through the followed results within both two weeks and three years after operation（P〈0.05）. However,the pain-relieving effects weakened gradually with time. Conclusions.Pain of the hip joint can be reduced obviously through the resection of the obturator nerve and the in-pelvis one is better.

关 键 词：闭孔神经 切断术 髋关节疼痛 

分 类 号：R681.6[医药卫生—骨科学]