[髋关节镜下基于穿刺的有限切口囊腔切开术治疗股髋臼撞击的疗效]。

Q3 Medicine
H S Zhang, C Liu, S Chen, Z H Liu
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引用次数: 0

摘要

目的:探讨髋关节镜下基于穿刺的有限切口囊腔切开术治疗股髋臼撞击(FAI)的临床效果。方法:回顾性分析2020年1月至2023年1月沧州市中心医院行髋关节镜手术的FAI患者资料。所有患者根据髋关节镜手术中囊膜的处理分为t型囊膜切开组(TS组)和有限穿刺囊膜切开组(PL组)。TS组采用传统的由外向内入路t型囊腔切开术,PL组采用管内引导穿刺和由内向外入路有限纵向囊腔切开术。通过比较TS组与PL组术前、术后6个月及随访1年的术后并发症发生率、总手术时间(TOT)、囊膜缝合时间(CST)、CST/TOT、视觉模拟评分(VAS)疼痛评分、改良Harris髋关节评分(mHHS)、非关节炎髋关节评分(NAHS)、国际髋关节预后指标-12 (iHOT-12),评价两组的临床疗效。结果:共纳入82例患者,其中男性30例,女性52例,平均年龄(46.0±11.9)岁;TS组32例(32髋),PL组50例(50髋)。TS组TOT[(62.2±7.9)vs(50.2±7.2)min]、CST[17.0(15.0, 22.8) vs 9.0(7.8, 10.0) min]、CST/TOT比值[29.0%(22.5%,34.8%)vs 17.5%(14.8%, 21.0%)]均显著高于PL组(均PP=0.840)。TS组与PL组术前VAS、mHHS、NAHS、iHOT-12评分比较,差异均无统计学意义(P < 0.05)。两组术后6个月和1年疼痛VAS均有进行性减轻(PPPPP均为0.05)。结论:基于穿刺的有限切口囊膜切开髋关节镜技术治疗FAI临床效果良好,可显著缩短手术时间,提高手术效率,且不增加手术并发症发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Efficacy of puncture-based limited incision capsulotomy under hip arthroscopy for femoroacetabular impingement].

Objective: To explore the clinical effect of puncture-based limited incision capsulotomy under hip arthroscopy in the treatment of femoroacetabular impingement (FAI). Methods: A retrospective analysis was conducted on the data of patients with FAI who underwent hip arthroscopy surgery at Cangzhou Central Hospital from January 2020 to January 2023. All patients were divided into two groups based on capsular management during hip arthroscopy: the T-shaped capsulotomy group (TS group) and the puncture limited capsulotomy group (PL group). The TS group underwent traditional T-shaped capsulotomy via an outside-in approach, while the PL group received cannula-guided puncture and limited longitudinal capsulotomy via an inside-out approach. By comparing the incidence of postoperative complications, total surgical time (TOT), capsule suturing time (CST), CST/TOT, visual analog scale (VAS) pain score, modified Harris hip joint score (mHHS), nonarthritic hip score (NAHS), and international hip outcome tool-12 (iHOT-12) during preoperative and postoperative period at 6 months and 1 year follow-up between TS and PL group, the clinical efficacy in the two groups was evaluated. Results: A total of 82 patients were enrolled in this study, 30 males and 52 females with a mean age of (46.0±11.9) years; there were 32 cases (32 hips) in TS group and 50 cases (50 hips) in PL group. The TOT[(62.2±7.9) vs (50.2±7.2)min], CST[17.0(15.0, 22.8) vs 9.0(7.8, 10.0) min], and CST/TOT ratios [29.0%(22.5%, 34.8%) vs 17.5%(14.8%, 21.0%)] in TS group were all significantly higher than those in PL group (all P<0.001). Complication incidence rate in the TS and PL group was comparable [15.6% (5 cases) vs 14.0% (7 cases), P=0.840]. There was no significant differences in preoperative VAS, mHHS, NAHS, and iHOT-12 scores between the TS and PL group (all P>0.05). Both groups demonstrated progressive pain VAS reduction at 6 months and 1 year after the operation (all P<0.05 within groups), with the PL group exhibiting lower 6-month VAS (P<0.05). Functional scores (mHHS, NAHS, iHOT-12) improved progressively at 6 months and 1 year after the operation in both groups (all P<0.05 within groups). At 6 months, the PL group showed superior functional scores (all P<0.05), but no inter-group differences remained at 1 year (all P>0.05). Conclusion: The hip arthroscopy technique of puncture-based limited incision capsulotomy for treating FAI demonstrates favorable clinical outcomes, significantly reduces operative time, enhances surgical efficiency, and does not increase the incidence rate of surgical complications.

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来源期刊
Zhonghua yi xue za zhi
Zhonghua yi xue za zhi Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
400
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