髋关节镜下盂唇修补术治疗髋臼盂唇损伤的疗效评价

目的:探讨髋关节镜下盂唇修补术治疗髋臼盂唇损伤的临床疗效。方法:选择2018年11月至2019年5月在广东省中医院诊断为髋臼盂唇损伤并在髋关节镜下行盂唇修复术的患者,所有患者术前术后采用X线片、三维CT和核磁共振等检查,选择改良Harris髋关节评分(mHHS)、体育运动专用髋关节评分(HOS-SSS)、日常活动的髋关节功能评分(HOS-ADL)和VAS疼痛评分,评定患者的临床疗效。结果:共纳入患者30例,其中男10例,女20例,年龄(37.8±10.6)岁(17~55岁)。所有患者均获随访,随访时间为6~12个月,平均8.2个月。患者术前H0S-ADL,HOS-SSS,mHHs评分分别为53.8±10.6,44.2±9.6,62.2±11.6;术后6个月时分别为77.6±10.2,72.8±7.3,79.3±9.1,均较术前显著提高(P<0.01);术前VAS评分为6.5±2.3,术后6个月时为2.6±1.3,较术前显著降低,差异有统计学意义(P<0.01)。结论:髋关节镜下盂唇修补术治疗髋臼盂唇损伤,能缓解症状,其近期临床疗效良好。

The Clinical Study of Labral Repair for the Labral Injuries with Hip Arthroscopy

Objective:To explore the clinical efficacy of labral repair in the patients who underwent arthroscopic for the labral injuries with FAI.Methods:All the patients with labral injuries and with treatment by his arthroscopic in Guangdong provincial hospital of TCM were selected from November 2018 to May 2019.All patients were examined by X-ray,3 DCT and MRI before and after surgery.The modified Harris hip score(mHHS),hip outcome score sports specific subscale(HOS-SSS),hip outcome score-activities of daily living(HOS-ADL)and the visual analogue scale(VAS)were used to evaluate the clinical efficacy of the patient.The software of the SPSS 18.0 statistical was used to detect whether the comparison difference was statistically significant.Results:Thirty patients were collected from November 2018 to May 2019.There were 10 males and 20 females,with an average age of 37.8 years old(17~55 years old).All patients were followed up for 6~12 months,with an average of 8.2 months after surgery.The HOS-ADL score,HOS-SSS,mHHs score and VAS score were significantly better at 6 months follow-up than before operation(P<0.01).Conclusion:Labral repair in the patient who is treated by arthroscopic for the labral injuries with FAI shows satisfied clinical result at the shortterm follow-up.