关节镜微创技术在治疗早期股骨头坏死中的应用及对患者疼痛程度的影响

Application of Arthroscopic Minimally Invasive Technique in the Treatment of Early Femoral Head Necrosis and its Effect on the Pain Degree of Patients

目的研究关节镜微创技术在治疗早期股骨头坏死(ONFH)中的应用及对患者疼痛程度的影响。方法收集2016年3月—2018年3月在许昌市中心医院骨科接受治疗的57例68髋早期ONFH患者的临床资料,并按照随机、双盲研究法,分为对照组(20例24髋)和观察组(37例44髋)。对照组给予传统髓芯减压术,观察组行关节镜下髓芯减压微创术。比较两组患者临床疗效、手术前后疼痛程度及髋关节功能。结果术前,两组患者的视觉模拟评分(VAS)评分及Harris评分比较差异均无统计学意义(P>0.05)。术后,两组患者的视觉模拟评分(VAS评分)及Harris评分均下降,观察组均低于对照组,两组比较差异有统计学意义(P<0.05)。观察组总有效率为86.36%,明显高于对照组的62.50%,两组患者疗效比较差异有统计学意义(P<0.05)。结论行关节镜下髓芯减压微创术治疗的ONFH患者临床疗效显著,疼痛明显缓解,髋关节功能有效恢复,临床应用价值高。

Objective To study the application of arthroscopic minimally invasive technique in the treatment of early femoral head necrosis and its effect on the pain degree of patients.Methods The clinical data of 57 patients with early femoral head necrosis were collected and divided into control group(20 cases,24 hips)and observation group(37 cases,44 hips)according to randomized and double-blind study. The control group were treated with traditional core decompression,and the observation group were treated with arthroscopic minimally invasive decompression. The clinical efficacy,pain degree and hip function were compared between the two groups.Results Before operation,there was no significant difference in VAS score and Harris score of two groups(P>0.05).After operation,the VAS and Harris scores of the two groups decreased,and those of the observation group were lower than those of the control group.The difference between the two groups was statistically significant(P<0.05). The total effective rate of the observation group was 86.36%,which was significantly higher than that of the control group(62.50%,P<0.05). Conclusion There is significant clinical efficacy in the patients with early femoral head necrosis treated by arthroscopic core decompression and minimally invasive de? compression,with significant pain relief,effective recovery of hip joint function,and high clinical application value.