摘要
目的探讨关节镜下滑膜切削对强直性脊柱炎髋关节病变的治疗效果。方法2003年5月-2007年3月应用关节镜对17例强直性脊柱炎患者的17个髋关节进行镜下检查、关节腔清理和滑膜切削。结果17例病人术后随访14-59个月,平均36月。Harris和Oxford评分分别由术前62.4±9.81分及67.3±6.25分升至术后85.5±11.4分及87.5±10.4分,屈曲和外展角度分别由术前69.1°±10.3°及10.2°±2.42°升至术后88.6°±16.4°及15.5°±3.45°,VAS评分由术前8.4±1.2降至术后5.9±1.6分,以差异均有统计学意义。优5例,良10例,可1例,差1例;15例满意。结论关节镜下清理和滑膜切削可以有效控制强直性脊柱炎髋关节病变的发展,缓解症状。
Objective To study the clinical outcome of arthroscopic debridement and synovium resection for hip lesion in patients with ankylosing spondylitis.Methods Arthroscopy,arthroscpic debridement and synovium resection were performed for hip lesion in 17 patients with ankylosing spondylitis from May 2003 to March 2007.Results All the patients were followed up for 14-59 months,averaging 36 months.The Harris and Oxford scores increased from 62.4±9.81 and 67.3±6.25 before operation to 85.5±11.4 and 87.5±10.4 after operation,respectively（P0.05）.The flexion and abduction function increased from 69.1o±10.3o and 10.2o±2.42o before operation to 88.6o±16.4o and 15.5o±3.45o after operation,respectively（P0.05）.The VAS scores decreased from 8.4±1.2 before operation to 5.9±1.6 after operation（P0.05）.Excellent,good,fair and poor outcome was achieved in 5,10,1 and 1 patients,respectively.Fifteen patients were satisfied with their outcome.Conclusion Arthroscopic debridement and synovium resection can effectively control the progression of hip lesion in patients with ankylosing spondylitis and relieve its symptoms.
出处
《军医进修学院学报》
CAS
2011年第2期138-140,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
关节镜
强直性脊柱炎
髋关节
Arthroscopy
Spondylitis
Ankylosing
Hip Joint
