髋关节镜下治疗盂唇损伤的研究进展  

Arthroscopic treatment progress of labral tear

作　　者：李自愿 陈志豪 胡刚峰 谢宗刚[1] Li Ziyuan;Chen Zhihao;Hu Gangfeng;Xie Zonggang(Department of Orthopedic Surgery,The Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]苏州大学附属第二医院骨科,215004

出　　处：《中华关节外科杂志（电子版）》2022年第4期456-461,共6页Chinese Journal of Joint Surgery(Electronic Edition)

摘　　要：随着髋关节镜技术在过去十年的快速发展,对盂唇损伤的认识和治疗得到不断更新。治疗盂唇损伤由较早的开放盂唇清理术演变到关节镜下治疗,包括盂唇清理、修复以及近年来开展的盂唇重建术,选择合适的治疗方式是改善短期和中期临床疗效的关键因素。髋臼盂唇损伤是引起髋部疼痛的常见原因,常继发于股骨髋臼撞击综合征、创伤、髋关节发育不良、退变、髋关节过度活动以及关节囊松弛。盂唇损伤的治疗有保守治疗和手术治疗,保守治疗包括:休息、非甾体抗炎药、止痛药、活动改变、物理治疗和关节内注射等。当保守治疗无效时,需要手术治疗,手术治疗包括:盂唇清理术、盂唇修复术和盂唇重建术。髋臼盂唇损伤可以导致髋关节功能障碍,正确诊断盂唇损伤及合适的治疗方式能有效减少关节软骨磨损,预防骨关节炎的发生或延缓发展。With the rapid development of hip arthroscopy in the past decade,the understanding and treatment of labral tear have been constantly updated.Treatment of labral tear has evolved from the early open labral debridement to arthroscopic treatment,which including labral debridement,repair and labral reconstruction in recent years.Choosing the appropriate treatment method is the main factor to improve the short-term and medium-term clinical efficacy.Acetabular labral tear is a common cause of hip pain,which is often secondary to femoral acetabular impact syndrome,trauma,hip dysplasia,degeneration,hip overactivity and joint capsule relaxation,Treatment of labral tear includes conservative treatment and surgical treatment.Conservative treatment includes rest,non-steroidal anti-inflammatory drugs,analgesics,altered activity,physical therapy and intra-articular injection.When conservative treatment has no effect,surgical treatment is needed,which includes labral debridement,repair and labral reconstruction.Acetabular labrum injury can lead to dysfunction of the hip joint.Correct diagnosis of labrum injury and appropriate treatment can effectively reduce articular cartilage wear and prevent osteoarthritis or delay its progress.

关 键 词：髋关节 关节镜 回旋套损伤 治疗学 

分 类 号：R687.4[医药卫生—骨科学]