髋关节镜的临床应用进展

Clinical application progress of hip arthroscopy

髋关节镜技术近20年飞速发展,在髋关节损伤诊断治疗领域的作用愈加显著。以往通过X线、CT或MRI等检查无法确定的髋关节病损也可通过髋关节镜检查得到较为明确的诊断,该技术逐渐成为髋关节疾病诊断的金标准。目前,髋关节镜检查入路主要有外侧入路、前侧入路、后外侧入路,应用范围主要包括盂唇撕裂、股骨髋臼撞击症、圆韧带损伤、软骨损伤、滑膜疾病、关节内感染、关节内游离体等。髋关节镜技术是一项综合性技术,其优点得以良好体现须手术者熟悉掌握该技术的适应证、禁忌证以及手术操作方法,必须在术前进行细致的物理检查及影像学检查,在术后进行合理有效的康复功能训练。

The hip arthroscopy develops quickly in the past 20 years. Its use in the diagnosis and treatment of the hip injury get more notably. Many of pathologic conditions previously unrecognized through X-ray,CT or MRI have been diagnosed correctly under hip arthroscopy. The technology has become gradually a golden standard to confirm the hip discords. In the present,the examining path of the hip arthroscopy contains mainly the outside path,the anterior path,the outside-posterior path. The application range of the hip arthroscopy includes the management of labral tears,the femoroacetabular impingement,the ligamentum tear injuries,the chondral lesions,the synovical abnormalities,the intra-articular infection,the loose bodies in the joint etc. The hip arthroscopy is a comprehensive technology. Its superiority can be reflect well if the doctors are familiar with the indication,the contraindication and the operation procedure. And also the thorough physical examination and imaging examination should be made before operation,as well as reasonable and effective postoperative function training should be conducted.