摘要目的 评估髋关节镜手术治疗髋关节撞击综合征的中长期临床疗效。方法 大连市第二人民医院从2016年8月到2018年8月实施髋关节镜手术86例94髋,其中男35例38髋,女51例56髋,年龄24~52岁,平均(36.3±11.2)岁。随访时间为36~64个月,平均(50.7±15.8)个月。于术后3年,术后5年进行改良Harris髋关节评分(modified Harris hip score,mHHS),加利福尼亚大学洛杉矶分校评分(university of California Los Angeles score,UCLA),疼痛视觉模拟评分(visual analogue scale,VAS)及满意度评分,测量α角、CE角(wiberg centraledgeangle)、股骨偏移量等指标。结果 术后3年mHHS评分为(82.8±10.1)分(72~92分),UCLA评分为(1.7±1.3)分(0~3分),VAS评分为(2.2±1.8)分(0~4分),α角为(41.6±3.5)°(38°~45°),CE角为(32.3±8.5)°(23°~41°),offset股骨偏移量(8.5±2.0) mm (6.5~10.5 mm) 。术后5年mHHS评分为(80.9±11.2)分(70~92分),UCLA 评分为(1.6±1.2)分(0~3分),VAS评分为(2.3±1.7)分(0~4分),α 角为(41.6±3.5)°(38°~45°),CE角为(31.8±8.2)°(23°~41°),offset股骨偏移量(8.6±2.0) mm (6.6~10.6 mm) 。术后3年及术后5年与术前相比差异有统计学意义,患者术后取得了满意的临床疗效。术后5年与术后3年相比,差异无统计学意义,患者术后取得满意的临床疗效可维持较长时间。结论 髋关节镜手术治疗髋关节撞击综合征能够取得令人满意的中长期临床疗效。
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