摘要
目的 探讨应用关节镜技术治疗髋关节骨关节炎的疗效。方法 采用关节镜技术治疗中老年髋关节骨关节炎23例，男性8例，女性15例。平均年龄61岁（51～67岁）。左侧9例。右侧11例，双侧3例。关节镜下采用等离子刀清理关节内增生、肥厚、充血水肿的滑膜组织、退变的软骨和髋臼盂唇、游离体取出和髋关节灌洗。结果 术后随访23例，平均25个月（6个月至5．5年），髋关节疼痛症状减轻，功能明显改善。VAS评分术前7．6分，术后2．5分。Harrss评分术前46．8分，术后84．6分。结论 关节镜下清理治疗髋关节骨关节炎是一种有效的姑息性手术治疗方法，可减轻症状，延缓病情发展，提高生活质量。
Objective To study the efficacy of arthroscopy in treatment of osteoarthritis of hip joint. Methods Twenty-three cases of osteoarthritis of hip joint were debrided under the arthroscopy . In this group 8 were males and 15 were females. Nine had lesion on left side, 11 on right side and 3 had bilateral lesions. The treatment procdures included removal of osteophyma, loose body, hyperplastic synovial membrane, degenerated cartilage on the weight-bearing areas of the hip joint and glenoid lip under wear and tear. Results Twenty three patients were followed up for average of 25 months. After debridement and lavage, pain of most patients relieved, the function and the range of movement were restored. The score according to Harris hip joint score evaluation system was 46.8 before operation and 84.6 after operation. VAS pain score was 7.6 before operation and 2. 5 after operation. Conclusion Debridement and lavage under arthroscopy were effective methods for osteoarthritis of hip joint, which can delay the development of pathological process.
出处
《中华老年多器官疾病杂志》
2006年第4期256-257,272,共3页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
髋关节
关节镜
清理术
骨关节炎
osteoarthritis
arthroscopy
hip joint
debridernent
