关节镜诊治髋关节创伤相关性疾病的疗效分析

Analysis of curative effect of arthroscopy on diagnosis and treatment of trauma related diseases in hip joint

目的探讨髋关节镜诊治髋关节创伤相关性疾病的方法及临床疗效。方法选择2011年1月至2015年1月在沈阳军区总医院采用关节镜手术治疗的髋关节创伤相关性疾病患者12例为研究对象。其中,男性9例,女性3例;年龄21-62岁,平均（44.0±2.6）岁;比较本组患者术前与末次随访时的Harris、视觉模拟评分法（VAS）评分。结果本组患者随访12-60个月,平均（38.0±1.8）个月。术后末次随访时,平均Harris评分（82.3±2.0）分,高于术前的（52.3±1.9）分;平均VAS评分（1.8±0.8）分,低于术前的（5.3±0.8）分,术前与术后比较,差异均有统计学意义（P〈0.01）。结论髋关节镜是一种微创技术,对治疗髋关节创伤相关性疾病具有良好的疗效。

Objective To explore the clinical curative effect and method of the hip joint arthroscopic diagnosis and treatment in trauma related diseases. Methods A retrospective study was performed on 12 patients with trauma related diseases in hip joint received hip joint arthroscopy in the General Hospital of Shenyang Military Command from January 2011 to January 2015. Among the patients,there were 9 male,3 female,aged from 21 to 62 years old,mean age（ 44. 0 ± 2. 6） years old. The preoperative and the last follow-up of Harris and the visual amalogue scale（ VAS） score were analyzed. Results The follow-up time was 12 to 60 months,mean time was（ 38. 0 ± 1. 8） months. After the operation,the mean Harris score at the last follow-up was（ 82. 3 ± 2. 0） which was higher than preoperative mean score（ 52. 3 ± 1. 9）. Postoperative mean VAS score（ 1. 8 ± 0. 8） was lower than preoperative mean score（ 5. 3 ± 0. 8）. The difference was statistically significant（ P 〈0. 01）. Conclusion The arthroscopic treatment of hip joint trauma related diseases is a minimally invasive technology and have a good effect.