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目的探讨关节镜技术在髋关节结核诊断和治疗中的作用。方法我科2001年3月-2008年3月通过关节镜治疗髋关节结核16例,根据病变程度分为早期和晚期病变,术前和术后采用Harris评分评价髋关节功能。结果早期患者术前评分50.89±21.12,术后1年评分86.00±10.33,术后症状明显改善,并能正常生活;晚期患者术前评分3.33±2.07,术后1年评分62.15±17.36,虽较术前明显改善,但仍遗留髋关节疼痛和功能部分受限。结论关节镜可有效地对髋关节结核进行诊断和治疗,早期治疗效果较好。
Objective To explore the role of arthroscopy in the diagnosis and treatment of hip joint tuberculosis. Methods From March 2001 to March 2008, 16 cases of hip tuberculosis were treated by arthroscopy. According to the degree of lesion, they were divided into early stage and advanced stage. The Harris score was used to evaluate the hip joint function before and after operation. Results The score of preoperative score was 50.89 ± 21.12 in early stage patients and 86.00 ± 10.33 in 1 year postoperatively. The postoperative symptoms were significantly improved and normal life was observed. The preoperative score was 3.33 ± 2.07 in patients with advanced stage and 62.15 ± 17.36 at 1 year after operation. Preoperative significantly improved, but still left hip pain and limited function. Conclusion Arthroscopy can effectively diagnose and treat the tuberculosis of the hip joint. The early treatment is better.