摘要
目的探讨髋臼盂唇处理对髋臼周围截骨术(periacetabular osteotomy,PAO)治疗成人髋关节发育不良(developmental dysplasia of the hip,DDH)患者临床疗效的影响。方法回顾性分析了65例接受PAO治疗的成人DDH患者,髋关节核磁造影证实存在至少1.5 cm大小盂唇损伤,依据手术方式分为修整组与对照组。修整组47例,在PAO术中同时探查髋关节进行盂唇修整,平均随访2.1年;对照组18例,单纯行PAO手术治疗,平均随访2.3年。结果 Harris评分:修整组(91.79±5.12),对照组(92.39±5.26),差异无统计学意义(P>0.05),i HOT-12评分:修整组(60.04±13.14),高于对照组(52.34±12.38),差异有统计学意义(P<0.05),腹股沟区疼痛评分:修整组(72.34±12.18)高于对照组(57.39±15.10),两组差异有统计学意义(P<0.05)。结论对合并盂唇损伤>1.5 cm的成人DDH患者,髋臼盂唇处理提高PAO的临床疗效。
Objective To investigate effects of acetabular labrum repair on periacetabular osteotomy （ PAO ） for adults with developmental dysplasia of the hip （ DDH ）. Methods A series of 65 DDH patients receiving PAO was observed retrospectively. At least 1.5 em size labrum injury was detected by MRI. All patients were divided into 2 groups （ labrum repair group and control group ）. Labrum repair group included 47 cases who underwent periacetabular osteotomy and labral repair. The mean follow-up was 2.1 years. Control group included 18 cases who underwent periacetabular osteotomy without labral repair. The mean follow-up was 2.3 years. Results Harris score： there were no significant differences between the labrum repair group （ 91.79 ± 5.12 ） and the control group （ 92.39 ± 5.26 ） （ P 〉 0.05 ）. iHOT12 score： the labium repair group （ 60.04 ± 13.14 ）, which was higher than that of the control group （ 52.34 ± 12.38 ）, with statisticall significance （ P 〈 0.05 ）. One of the indicators in iHOT-12 score ＂abdominal inguinal region pain＂ was significantly higher in the labrum repair group （ 72.34 ± 12.18 ） than in control group （ 57.39 ± 15.10 ） （ P 〈 0.05 ）. Conclusions For the treatment of DDH with labrum injury bigger than 1.5 cm, labium repair improves the clinical outcomes of periacetabular osteotomy.
出处
《中国骨与关节杂志》
CAS
2017年第9期674-678,共5页
Chinese Journal of Bone and Joint
关键词
髋脱位
先天性
截骨术
髋臼成形术
髋关节
Hip dislocation, congenital
Osteotomy
Acetabuloplasty
Hip joint
