论文部分内容阅读
目的总结关节镜下治疗髋关节滑膜软骨瘤的方法及临床疗效。方法 2009年7月-2011年6月,对15例髋关节滑膜软骨瘤于关节镜下行滑膜清理和游离体摘除术。男11例,女4例;年龄21～45岁,平均33.1岁。左髋6例,右髋9例。病程12～43个月,平均23个月。主要临床症状为患侧髋关节活动受限、胀痛。疼痛视觉模拟评分(VAS)为(5.8±1.1)分,髋关节活动度为(149.8±27.5)°,Harris评分为(54.5±13.3)分。结果术后切口均Ⅰ期愈合。患者均获随访,随访时间6个月～2年,平均17.4个月。末次随访时VAS评分为(2.0±1.2)分,髋关节活动度为(258.3±35.4)°,Harris评分为(93.0±18.7)分,以上指标均较术前显著改善,差异有统计学意义(P<0.05)。随访期间MRI检查示均无复发。结论关节镜下治疗髋关节滑膜软骨瘤创伤小,术后恢复快,可最大程度恢复髋关节功能和活动度。
Objective To summarize the methods and clinical effects of arthroscopic treatment of hip synovial chondroma. Methods From July 2009 to June 2011, 15 patients with synovial chondroma of the hip underwent synovectomy and free radical resection under arthroscopy. 11 males and 4 females; aged 21 to 45 years, mean 33.1 years old. Left hip in 6 cases, right hip in 9 cases. Duration of 12 to 43 months, an average of 23 months. The main clinical symptoms of ipsilateral hip joint activity is limited, pain. The pain visual analogue scale (VAS) was (5.8 ± 1.1) points, hip joint activity was (149.8 ± 27.5) °, Harris score was (54.5 ± 13.3) points. Results The incisions healed in the first stage. All patients were followed up for 6 months to 2 years with an average of 17.4 months. The VAS score was (2.0 ± 1.2) at the last follow-up, the activity of the hip joint was (258.3 ± 35.4) ° and the Harris score was (93.0 ± 18.7). The above indexes were significantly improved compared with that before operation P <0.05). MRI examination showed no recurrence during follow-up. Conclusions Arthroscopic treatment of hip synovial chondroma is less traumatic and postoperative recovery is rapid, and maximal hip function and activity can be recovered.