关节镜下治疗股髋撞击综合征合并Ⅰ度盂唇损伤的临床疗效观察

A clinical observation study on arthroscopic treatment of femoroacetabular impingement syndrome with Ⅰ stage glenoid labrum injury

目的探讨和总结关节镜下治疗股髋撞击综合征(FAI)合并Ⅰ度盂唇损伤的临床疗效。方法按照纳入和排除标准,将2011年2月至2016年4月在我院治疗的32例股髋撞击综合征合并Ⅰ度盂唇损伤的患者纳入本研究,其中男18例,女14例,左髋12例,右髋20例,平均年龄37.5岁(25~58岁),均行关节镜清理和盂唇修整术,术中对增生的骨赘进行磨削、清理,损伤的盂唇进行修整,术后进行髋关节功能康复锻炼。末次随访记录Harris髋关节功能评分及VAS视觉模拟疼痛评分,比较术前术后HHS评分(Harris)及VAS评分(visual analogue score),评价临床疗效。结果术后所有患者均获随访,随访时间平均18个月(12~24个月),Harris髋关节评分由术前的(67.03±2.56)分,提高到术后12个月的(93.75±3.75)分(<0.05),具有显著的统计学差异。髋关节视觉模拟疼痛评分从术前的(6.59±0.91)分,下降到术后12个月的(1.78±0.55)分(<0.05),具有显著的统计学差异。结论应用关节镜技术治疗股髋撞击综合征合并Ⅰ度盂唇损伤能够有效缓解髋关节疼痛症状,改善髋关节功能,延缓髋关节骨性关节炎的发展,术后短期临床疗效确切。

Objective To observe the clinical effect of arthroscopic technique in treatment of femoroacetabular impin-gement syndrome with Ⅰ stage glenoid labrum injury. Methods According to the including and excluding standards, We studied 32 patients who were suffered from femoroacetabular impingement syndrome with Ⅰ stage glenoid labrum injury from Feb 2011 to Apr 2016, 18 males and 14 females,12 left and 20 rights average 37.5 years old （aged from 25 to 58）. All ofthem were treated with arthroscopy. In the procedure, we cuted the osteophyma and sutured the injury labrum. Rehabilitation exercise of the hip was started post-poeration. The clinical efifect were compared by Harris score and VAS score （visual analogue pain score）. Results All the patients were followed up for average 18 months （range 12 to 24 months）. 12 months after operation, the Harris score was improved from （67.03± 2.56） to （93.75±3.75）. VAS score was descented from （6.59±0.91） to （1.78± 0.55）. All of them have significant statistical differences （P〈0.05）. Conclusion Arthroscopic technique can effectively alleviate the pain and improve the hip joint function.