髋关节镜下减压术治疗凸轮型髋关节撞击综合征  

The Clinical Analysis of the Hip Arthroscopy in Decompression Treatment of Cam-type Femoroacetabular Impingement

作　　者：孙宇[1] 陈崇民[1] 顾明[1] 吴文廷[2] 

机构地区：[1]沈阳市骨科医院,辽宁沈阳110044 [2]辽宁中医药大学,辽宁沈阳110032

出　　处：《实用骨科杂志》2015年第10期878-882,共5页Journal of Practical Orthopaedics

基　　金：辽宁省科学技术计划项目(2010225033)

摘　　要：目的探讨髋关节镜下行髋关节减压术治疗髋关节撞击综合征的疗效分析。方法 2011年7月至2013年1月收治髋关节撞击综合征21例,其中男性13例,女性8例;年龄22~62岁,平均42.4岁。均行髋关节镜检,明确髋关节撞击综合征（femoroacetabular impingement,FAI）,清理损伤的软骨和盂唇,打磨骨赘,并观察临床疗效。结果所有患者均获随访,采用髋关节查体和改良Harris评分进行功能评估。末次随访时,按改良Harris评分评定疗效,优2例,良17例,可2例,优良率超过90%。结论髋关节镜技术对凸轮型FAI具有重要的诊断和治疗价值,可以作为一种标准化治疗手段。Objective To investigate the clinical results of the hip arthroscopic femoral decompression in treatment of cam- type femoroacetabular impingement（ FAI）. Methods From July 2011 to January 2013,21 patients were treated for FAIcam. All 21 patients underwent arthroscopic probe and FAI-Cam was ensured. All patients were treated with hip arthroscopic decompression. Results A1 l patients were followed up. At final follow-up,2 patients were rated as excellent by Harris scoring,17 as good,2 as fair and none as poor. There was an excellent-to-good rate over 90%. Conclusion Hip arthroscopy for FAI-cam has an important diagnostic and therapeutic value. The hip arthroscopy should be a standard component in the treatment for femoroacetabular impingement of the hip joint.

关 键 词：髋关节 关节镜 减压 髋关节撞击综合征 凸轮型 

分 类 号：R684[医药卫生—骨科学]