关节镜下治疗临界髋关节发育不良盂唇损伤的中期疗效分析  

Arthroscopic treatment of borderline developmental dysplasia of the hip with labral tear:analysis of mid-term outcomes

作　　者：李自愿 史高龙 金志高[2] 陈志豪 凌卓彦[2] 顾军[2] 谢宗刚[2] Li Ziyuan;Shi Gaolong;Jin Zhigao;Chen Zhihao;Ling Zhuoyan;Gu Jun;Xie Zonggang(Department of Orthopaedics,People's Hospital of Pengshui County,Chongqing 409699,China;Department of Orthopaedics,The Second Affiliated Hospital of Suzhou University,Suzhou 215004,China)

机构地区：[1]彭水苗族土家族自治县人民医院骨科,重庆409699 [2]苏州大学附属第二医院骨科,苏州215004

出　　处：《中华创伤骨科杂志》2023年第11期959-964,共6页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨髋关节镜下关节囊有限切开修复盂唇治疗临界髋关节发育不良(BDDH)合并盂唇损伤的中期疗效。方法回顾性分析2016年1月至2019年12月苏州大学附属第二医院骨科收治的18例BDDH合并盂唇损伤患者资料(观察组)。男12例,女6例;年龄(41.8±8.5)岁。同时筛选同期18例与观察组患者年龄和性别相匹配的髋关节正常发育的盂唇损伤患者为对照组。男9例,女9例;年龄(43.5±10.3)岁。两组患者均采用髋关节镜下关节囊有限切开修复盂唇的方式进行治疗。比较两组患者的改良Harris髋关节评分(MHHS)、髋关节日常生活活动能力评分(HOS-ADL),采用疼痛视觉模拟评分(VAS)评估患者术后疼痛恢复程度。结果两组患者的术前一般资料包括年龄、性别比、体重指数、盂唇损伤程度及受伤至手术时间比较差异均无统计学意义(P>0.05),具有可比性。观察组和对照组患者分别获(38±7)、(43±6)个月随访。末次随访时观察组和对照组患者的MHHS分别为(97.1±3.3)、(95.4±4.2)分,HOS-ADL分别为(92.6±2.8)、(91.4±4.1)分,VAS分别为(0.8±0.5)、(0.7±0.6)分,以上项目两组间比较差异均无统计学意义(P>0.05)。结论与髋关节正常发育的盂唇损伤患者一样,单纯采用髋关节镜修复盂唇的手术方式治疗BDDH合并盂唇损伤也能取得良好的中期疗效。Objective To investigate the clinical efficacy of arthroscopic limited incision of the articular capsule to repair the glenoid labrum in the treatment of borderline developmental dysplasia of the hip(BDDH)complicated with labral tear.Methods A retrospective study was conducted to analyze the data of 18 patients with BDDH complicated with labral tear who had been admitted to Department of Orthopaedics,The Second Hospital Affiliated to Suzhou University from January 2016 to December 2019(observation group).There were 12 males and 6 females with an age of(41.8±8.5)years.Simultaneously,another 18 patients were selected as the control group whose hip development was normal but age and gender were matched with those in the observation group.There were 9 males and 9 females with an age of(43.5±10.3)years.Both groups were treated by arthroscopic limited incision of the articular capsule to repair the glenoid labrum.The 2 groups were compared in terms of modified Harris hip score(MHHS),Hip Outcome Score Activities of Daily Living Subscale(HOS-ADL),and visual analogue scale(VAS).Results There was no significant difference in the demographic data like age,gender ratio,body mass index,severity of labral tear or time from injury to operation between the 2 groups,indicating comparability between groups(P>0.05).The observation and control groups were followed up for(38±7)and(43±6)months,respectively.For the observation and control groups,respectively,MHHS was(97.1±3.3)points and(95.4±4.2)points,HOS-ADL(92.6±2.8)points and(91.4±4.1)points,and VAS(0.6±0.5)points and(1.0±0.8)points,all showing no significant difference between groups(P>0.05).Conclusion In the treatment of BDDH patients complicated with labral tear,simple arthroscopic limited incision of the articular capsule to repair the glenoid labrum can lead to the same good medium-term efficacy as it can in those with normal hip development.

关 键 词：关节镜检查 髋关节 发育不良 盂唇损伤 

分 类 号：R687.4[医药卫生—骨科学]