第29卷 第6期 中国现代医学杂志Vol. 29 No.6 2019年3月 China Journal of Modern Medicine Mar.2019 DOI: 10.3969/j.issn.1005-8982.2019.06.025
文章编号： 1005-8982（2019）06-0112-04
关节镜治疗髋臼盂唇损伤的疗效分析
欧阳侃，王大平，陆伟，朱伟民，李皓，钟名金，许鉴，
柳海峰，彭亮权，冯文哲，陈康，李瑛
（深圳市第二人民医院 运动医学科，广东 深圳 518035）
摘要：目的 评估关节镜下髋关节盂唇修复的临床疗效。方法 选取63例关节镜下行髋关节盂唇撕裂修复患者，手术适应证为不同原因的腹股沟区疼痛伴或不伴机械症状，非手术治疗≥6个月无效；术前影像职务津贴
学检查及术中关节镜探查证实存在髋关节盂唇撕裂，且无关节炎病变（Tönnis≤1级）。发病时间0.5～11.0年，
平均3.1年；随访时间12～36个月，平均26个月。采用改良Harris髋关节评分（MHHS）和髋关节功能评
分（HOS）、日常生活髋关节功能评分（HOS-ADL）对疗效进行评估。结果 Cam撞击伴盂唇撕裂14例，
Pincer撞击伴盂唇撕裂11例，混合型撞击伴盂唇撕裂27例，单纯盂唇撕裂11例，11例患者伴有髋臼软骨损伤。多肉静夜
手术前后MHHS、HOS、HOS-ADL评分比较，差异有统计学意义（P <0.05）。结论 对于无关节炎病变的
髋撞击盂唇损伤患者，关节镜下治疗髋撞击、修复盂唇撕裂，有良好的效果；由于盂唇对于髋关节长期功能
完整具有重要作用，建议尽可能进行盂唇缝合修复。
关键词： 髋损伤关节；髋关节；髋臼；关节镜检查；治疗结果
中图分类号： R684.7 文献标识码： A
Clinical outcome of arthroscopic acetabular labral repair Kan Ou-yang, Da-ping Wang, Wei Lu, Wei-ming Zhu, Hao Li, Ming-jin Zhong, Jian Xu, Hai-feng Liu,
Liang-quan Peng, Wen-zhe Feng, Kang Chen, Ying Li
(Department of the Sports Medicine, the 2nd People’s Hospital of Shenzhen, Shenzhen,
Guangdong 518035, China)
简单好唱的英文歌Abstract:Objective To asss the clinical and functional outcome of labral repair in patients undergoing arthroscopic surgery. Methods We performed a prospective analysis of 63 patients who had undergone hip
去新西兰
arthroscopic repair of a torn acetabular labrum (24 men and 39 women; mean age, 36.7 years). The indication for
学期个人总结
surgery was groin pain due to various caus with or without associated mechanical symptoms that did not respond
to operative treatment for more than 6 months and preoperative imaging examination and intraoperative arthroscopic
背景音乐纯音乐
examination confirmed the existence of hip labrum tear and no significant arthritis lesion (Tönnis level 1 or below).
The mean duration of symptoms was 3.1 years (range, 0.5 to 11 years). The mean follow-up period was 26 months
(range, 12 to 36 months). The outcome was prospectively measured with the modified Harris hip score (MHHS), hip
outcome score (HOS) and hip outcome score-activities of daily living (HOS-ADL). Results Intraoperatively, all
patients were diagnod with labral pathology. The indication for surgery was femoroacetabular impingement (FAI)
with cam deformity and a labral tear in 14 patients, FAI with pincer deformity and labral tear in 11 patients, FAI with
both deformities in 27 patients, and isolated labral tear in 11 patients. Acetabular chondral lesions were prent in 11
从属连词patients (17.46%). The mean preoperative and postoperative MHHS were 61.2 and 86.8, respectively (P < 0.05); the
收稿日期：2018-09-03
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