中国髋关节镜微创外科技术的发展与未来  

Development and future of minimally invasive hip arthroscopy surgery technology in China

作　　者：王健全[1] 黄洪杰[1] Wang Jianquan;Huang Hongjie(Department of Sports Medicine,Peking University Third Hospital(Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries Engineering Research Center of Sports Trauma Treatment Technology and Devices,Ministry of Education),Beijing 100191,China)

机构地区：[1]北京大学第三医院运动医学科(北京大学运动医学研究所,运动医学关节伤病北京市重点实验室,运动创伤治疗技术与器械教育部工程研究中心),北京100191

出　　处：《中华骨科杂志》2023年第23期1543-1546,共4页Chinese Journal of Orthopaedics

摘　　要：髋关节外科是骨科和运动医学中发展缓慢的专业。影像学的发展和关节镜微创外科技术的发展,为这个学科带来了契机。相对于其他关节微创技术,髋关节镜手术由于设备器械要求高、操作难度大、学习曲线长,发展更加缓慢。然而,随着疾病诊断和手术技术难关的不断突破,髋关节镜外科在近20年进入了快速发展期,目前已成为运动医学领域发展最迅猛的领域。尤其是近10年,中国的髋关节镜事业发展迅速,手术数量、种类及医生数量呈现爆发式增长,已形成具有影响力的髋关节镜专科医生队伍,技术水平及相关研究水平与国际差距正在缩小,甚至在部分领域的研究处于领先。总体来说,国内外研究显示髋关节镜手术效果肯定,大部分患者术后症状改善显著。然而仍有部分患者术后运动恢复不佳,髋部残留疼痛,提示对髋部疾病的认识仍有待提高,髋关节镜技术发展还处于初步阶段。因此,准确的诊断及适应证选择、详尽评估患者运动需求及心理状况、完善的术前规划、熟练的手术操作、严格的功能康复仍是每个髋关节镜医生时刻牢记的成功关键,也是髋关节镜专科医生队伍主攻的研究方向;髋关节镜的发展仍需要不断开展临床和基础研究,以建立更优化的、更全面的诊疗体系。Hip surgery has been a slow-growing specialty in orthopedics and sports medicine.The development of imaging and minimally invasive arthroscopic surgery techniques has brought opportunities for this branch.Compared with other minimally invasive joint techniques,hip arthroscopy develops more slowly due to high equipment requirements,difficult operation and long learning curve.However,with continuous breakthroughs in disease diagnosis and surgical techniques,hip arthroscopy technology has stayed in a fast track for the past 20 years,and has become the most rapidly developed field in sports medicine.Especially in the past decade,China's hip arthroscopy society has developed rapidly in both surgery volumes and types.With an increasing population of hip doctors,the technical level and related research gap between China and the outside world narrowed.In some research fields,China even surpassed them.In general,both domestic and overseas studies show that the effect of hip arthroscopy is positive with significant improvement of symptoms in most patients.However,some patients complained poor recovery and residual hip pain,which indicates that hip diseases are still not totally understood,and the development of hip arthroscopy technology is still in an early stage.Therefore,accurate diagnosis and indication selection,detailed assessment of patients'exercise needs and psychological status,perfect preoperative planning,skilled surgical operation,and strict functional rehabilitation are the keys to success,which should be kept in mind by every hip arthroscopy doctor.They are also the main research direction for hip arthroscopy doctors.Continuous efforts on clinical and basic research should be made for the development of hip arthroscopy to establish a more optimized and comprehensive diagnosis and treatment system.

关 键 词：运动医学 髋关节 关节镜 关节镜检查 学科发展 

分 类 号：R687.4[医药卫生—骨科学]