摘要
目的探讨分析关节镜辅助手术治疗发育性髋关节脱位患儿效果。方法以柘城县中医院2010年7月—2013年8月收治的发育性髋关节脱位患儿中选取48例作为研究对象,采用随机数字表法将所有研究对象分为观察组和对照组,每组各24例。对照组采用Ferguson手术法,观察组采用关节镜辅助手术治疗,观察两组两种治疗方法的治疗效果以及手术切开后妨碍骨头复位的因素。结果观察组的总有效为95.83%,明显高于对照组的87.50%,组间比较差异有统计学意义(P<0.05);妨碍骨头复位因素有盂唇内翻、圆韧带拉长和髋臼横韧带肥厚盂唇增厚等,采用关节镜辅助的观察组妨碍骨头复位因素显著优于对照组,差异有统计学意义(P<0.05)。结论采用关节镜辅助手术治疗发育性髋关节脱位可以清楚看见妨碍骨头复位因素并给予及时清除,达到有效复位成形关节,治疗效果较为理想,值得临床上推广应用。
OBjECTIVE To investigate the effect of arthroscopic assisted surgery in the treatment of developmental dislocation of the hip.METHODS In our hospital from July 2010 to August 2013,48 children with developmental dislocation of the hip joint were selected as the object of the study. It was approved by the hospital ethics committee. All subjects were divided into observation group and control group by random number table method, 24 cases in each group. The control group was treated with Ferguson operation, and the observation group was treated with arthroscopic assisted surgery. The effect of two methods of treatment in the observation group and the factors that obstruct the reduction of bone after operation were compared and analyzed.RESULTS The total effective rate of the observation group was 95.83%, which was significantly higher than that of the control group 87.50%. The difference between the groups was statistically significant （P〈0.05）. The factors impeding the reduction of bone, such as glenoid lips, the lengthening of the round ligament,the thickening of the hypertrophic glenoid lip of the acetabular ligament, were obstructing the reduction of bone. The difference between the two groups was statistically significant（P〈0.05）. CONCLUSION The use of arthroscopy assisted surgical treatment of hip dislocation could clearly see the factors hindering the reduction of bone reduction and timely clearance, to achieve effective reduction of the joint,the treatment effect is more ideal,worthy of clinical application.
出处
《中国初级卫生保健》
2018年第11期94-95,共2页
Chinese Primary Health Care
关键词
关节镜
手术
发育性髋关节脱位
患儿
效果
arthroscopy；surgery；developmental dislocation of the hip；children；effect
