网格定位器在髋关节镜治疗股骨髋臼撞击征中的应用  

Application of grid locator in hip arthroscopy for the treatment of femoroacetabular impingement features

作　　者：夏坤阳 阮文礼[1] 王守赟[1] 杨津先 XIA Kun-yang;RUAN Wen-li;WANG Shou-yun;YANG Jin-xian(Department of Spine Surgery,Dalian Second People's Hospital,Dalian 116014,Liaoning,China)

机构地区：[1]大连市第二人民医院关节与运动中心,辽宁大连116014

出　　处：《中国骨伤》2025年第2期176-182,共7页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨网格定位器在髋关节镜治疗股骨髋臼撞击征(femoroacetabular impingement,FAI)的应用效果。方法:2020年1月至2021年1月接受髋关节镜下手术治疗FAI患者50例,根据术中定位方式将患者分为两组。其中定位器组27例,男10例,女17例,年龄(35.91±9.92)岁,采用网格定位器辅助定位穿刺下行髋关节镜手术治疗;非定位器组23例,男12例,女11例,年龄(36.01±11.03)岁,依据术者经验定位穿刺下行髋关节镜手术治疗。比较两组术中透视次数、穿刺时间、调整穿刺次数、手术时间;比较两组手术前后髋关节α角和外侧中心边缘(laterla central edge,LCE)角;比较两组疼痛视觉模拟评分(visual analogue scale,VAS)、髋关节Harris评分、非关节炎髋评分(non arthritic hip score,NAHS)、髋关节日常活动结果评分(hip outcome score-activities of daily living,HOS-ADL)。结果:50例患者获得随访,时间6~12(18.69±3.72)个月。两组术后1个月髋关节α角和LCE角较术前均有减少(P<0.05),组间比较差异有统计学意义(P>0.05);术后VAS、Harris评分、NAHS评分和HOS-ADL评分均较术前提高(P<0.05),组间比较差异无统计学意义(P>0.05)。定位器组术中透视次数(6.04±1.13)次、穿刺时间(13.19±3.52)min、穿刺调整次数(4.59±1.55)次、手术时间(48.28±3.38)min,均少(短)于非定位器组(13.43±2.56)次、(22.39±2.93)min、(10.43±3.33)次、(62.25±5.73)min,差异有统计学意义(P<0.05)。两组术后均未发生并发症,疼痛均明显缓解。结论:应用髋关节镜治疗股骨髋臼撞击征可以获得良好的术后效果。对比传统定位方法,在应用网格定位器后可以提高皮肤定位点的定位准确率,缩短穿刺时间、减少透视次数,提高了手术穿刺效率。Objective To explore the application effect of grid locator in hip arthroscopy for the treatment of femoral acetabular impingement(FAI).Methods Total of 50 patients of FAI were treated by arthroscopic hip joint surgery for from January 2020 to January 2021,and were divided into two groups according to intraoperative positioning methods.Among them,27 cases in the positioner group were treated by hip arthroscopy assisted by grid positioner including 10 males and 17 females with a mean age of(35.91±9.92)years old.In the non-locator group,23 cases were treated with hip arthroscopy by positioning puncture according to the operator's experience including 12 males and 11 females with a mean age of(36.01±11.03)years old.Intraoperative fluoroscopy times,puncture time,adjusted puncture times and operation time of two groups were compared.TheαAngle and lateral central edge(LCE)angle of hip joint were measured and compared before and after operation.Four evaluation indexes were recorded and compared,including pain visual analogue scale(VAS),hip Harris score,non-inflammatory hip joint score(NAHS),hip joint activities of daily living(HOS-ADL).Results All patients were followed up for 6 to 12 months with an average of(18.69±3.72)months.Theαangle and LCE angle of hip joint at 1 month after operation were decreased in both groups(P<0.05),but there was no significant difference between groups(P>0.05).VAS,hip Harris score,NAHS and HOS-ADL score after operation were higher than those before operation(P<0.05),but there was no statistical significance between groups(P>0.05).Intraoperative fluoroscopy times(6.04±1.13),puncture time(13.19±3.52)min,puncture adjustment times(4.59±1.55)and operation time(48.28±3.38)min in the positioner group were less(shorter)than those of(13.43±2.56),(22.39±2.93)min,(10.43±3.33),(62.25±5.73)min in the non-positioner group(P<0.05).No postoperative complications occurred in both groups,and the pain was significantly relieved.Conclusion The application of hip arthroscopy in the treatment of fem

关 键 词：网格定位器 股骨髋臼撞击征 髋关节镜 定位准确率 

分 类 号：R681.8[医药卫生—骨科学]