摘要
目的探讨合并棘下撞击的髋臼盂唇损伤患者的临床特征并对髋关节镜术后疗效进行评价。方法选择2019年9月至2020年6月我院诊断为合并棘下撞击的髋臼盂唇损伤患者30例,其中男12例,女18例;年龄18~56岁,平均(32.8±10.8)岁。30例患者在髋关节镜下行盂唇修复术、髂前下棘成形术及股骨成形术。术前利用X线片、三维CT和核磁共振等检查明确诊断,术后复查CT了解减压情况。选择疼痛视觉模拟评分(visual analogue scale,VAS),改良Harris髋关节评分(modified Harris hip score,mHHS),日常活动的髋关节功能评分(hip outcome score-activities of daily living,HOS-ADL),体育运动专用髋关节评分(hip outcome score-sports specific subscale,HOS-SSS)评定患者的临床疗效。结果患者均获随访,随访时间8~15个月,平均随访(10.2±5.6)个月。CT提示该组患者均为髂前下棘Ⅱ型增生。患者术前HOS-ADL、HOS-SSS、mHHs评分分别为(50.8±8.3)分、(42.6±10.5)分、(60.5±13.5)分,术后6个月时分别为(86.3±9.6)分、(83.8±8.5)分、(85.6±10.2)分,均较术前显著提高(P<0.001);术前VAS评分为(5.4±3.5)分,术后6个月时为(1.6±0.8)分,较术前显著降低(P<0.001)。结论利用髋关节镜治疗合并棘下撞击的髋臼盂唇损伤患者,能对髂前下棘充分减压并可有效缓解症状,其近期临床疗效良好。
Objective To explore the short-term result of patients who underwent arthroscopic for the labral injuries with subspine impingement.Methods From September 2019 to June 2020,patients with labral injuries and Subspine impingement were diagnosed in our hospital of TCM.Physical examination,X-ray,CT 3D scans,MRI were made for diagnose.A total of 30 patients were collected between September 2019 to June 2020.Among them,12 males and 18 females,with an average age of 37.8 years old(18~56 years old).All patients were measured according to the modified Harris hip score(mHHS),hip outcome score sports specific subscale(HOS-SSS),hip outcome score-activities of daily living(HOS-ADL).The severity of the pain was assessed using the visual analogue scale(VAS).Results Postoperative follow-up was 8 to 15 months,with an average of 10.2 months.CT showed that all patients were typeⅡanterior inferior iliac spine.The preoperative scores of H0S-ADL,HOS-SSS,mHHs,VAS were(50.8±8.3),(42.6±10.5),(60.5±13.5),(5.4±3.5).At 6 months follow-up,the scores were(86.3±9.6),(83.8±8.5),(85.6±10.2),(1.6±0.8).HOS-ADL score,HOS-SSS,mHHs score and VAS score were significantly better at 6 months follow-up than before operation(P<0.01).Conclusion The patients who underwent arthroscopic for the labral injuries with subspine impingement shows satisfied clinical result at the short-term follow-up.
作者
杨伟铭
曹学伟
赵彩琼
Yang Weiming;Cao Xuewei;Zhao Caiqiong(Department of Joint Surgery,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China)
出处
《实用骨科杂志》
2021年第12期1076-1079,共4页
Journal of Practical Orthopaedics
基金
2020年度广东省高等教育教学改革项目(粤教高函[2020]20号)。
关键词
关节镜
髂前下棘
髂前下棘撞击
盂唇损伤
股骨髋臼撞击
arthroscopy
anterior inferior iliac spine
anterior inferior iliac subspine impingement
labral lesion
femoroacetabular impingement
