摘要
目的比较富血小板血浆(PRP)辅助髋关节镜手术与单纯髋关节镜手术治疗股骨髋臼撞击征(FAI)的短期疗效。方法采用回顾性队列研究分析2019年1月至2021年1月中国人民解放军总医院第四医学中心收治的133例FAI患者的临床资料, 其中男86例, 女47例;年龄19~71岁[(39.1±12.6)岁]。67例行单纯髋关节镜手术治疗(髋关节镜组);66例行髋关节镜术后超声引导下关节镜PRP注射治疗(髋关节镜+PRP组)。比较两组术前、术后12个月及末次随访时视觉模拟评分(VAS)、改良Harris髋关节功能评分、国际髋关节评分-12(iHOT-12)和髋关节日常生活活动评分(HOS-ADL)。比较两组术后并发症发生率。结果 108例患者获随访24~36个月[(28.5±3.8)个月]。因拒访或电话号码错号等原因失访25例, 其中髋关节镜组11例(16.4%), 髋关节镜+PRP组14例(21.2%)。髋关节镜组术前、术后12个月及末次随访时VAS分别为5.00(5.00, 7.00)分、3.00(2.00, 3.75)分、1.00(0.00, 2.00)分, 改良Harris髋关节功能评分分别为49.00(39.00, 57.00)分、76.00(69.25, 82.00)分、86.00(82.00, 88.00)分, iHOT-12分别为0.45(0.28, 0.58)分、0.69(0.58, 0.80)分、0.81(0.70, 0.92)分, HOS-ADL分别为0.52(0.42, 0.68)、0.87(0.75, 0.93)分、0.93(0.86, 0.99)分;髋关节镜+PRP组术前、术后12个月及末次随访时VAS分别6.00(5.00, 7.00)分、3.00(2.00, 3.75)分、1.00(0.00, 2.00)分, 改良Harris髋关节功能评分分别为46.50(37.00, 56.75)分、78.00(72.00, 84.00)分、84.50(82.00, 88.00)分, iHOT-12分别为0.42(0.26, 0.51)分、0.66(0.58, 0.74)分、0.81(0.68, 0.88)分, HOS-ADL分别为0.54(0.38, 0.65)、0.87(0.72, 0.96)分、0.94(0.86, 1.00)分。两组内术后12个月和末次随访时VAS、改良Harris髋关节功能评分、iHOT-12、HOS-ADL较术前显著改善, 且末次随访时较术后12个月进一步改善(P均<0.01)。两组间术前、术后12个月及末次随访时VAS、改良Harris髋关节功能评分、iHOT-12、HOS-ADL差异无统计学意义(
Objective To compare the short-term efficacy of hip arthroscopic surgery assisted by platelet-rich plasma(PRP)and hip arthroscopy alone in the treatment of femoroacetabular impingement(FAI).Methods A retrospective cohort study was performed on the clinical data of 133 FAI patients admitted to Fourth Medical Center of PLA General Hospital from January 2019 to January 2021.The patients included 86 males and 47 females,aged 19-71 years[(39.1±12.6)years].A total of 67 patients were treated with hip arthroscopy alone(hip arthroscopy group),and 66 patients were treated with PRP after hip arthroscopy under ultrasound guidance(hip arthroscopy+PRP group).The two groups were compared before,at 12 months after surgery and at the last follow-up regarding the following items:Visual Analogue Scale(VAS),Modified Harris Hip Score,International Hip Outcome Tool-12(iHOT-12),and Hip Outcome Score Activities of Daily Living Scale(HOS-ADL).The incidence rate of complications after surgery was compared between the two groups.Results A total of 108 patients were followed up for 24-36 months[(28.5±3.8)months],while 25 patients were lost to follow-up because of withdrawal of consent,wrong telephone number,etc,including 11 patients(16.4%)in the hip arthroscopy group and 14 patients(21.2%)in the hip arthroscopy+PRP group.The values of VAS in the hip arthroscopy group before,at 12 months after surgery and at the last follow-up were 5.00(5.00,7.00)points,3.00(2.00,3.75)points,and 1.00(0.00,2.00)points,respectively;the values of Modified Harris Hip Score were 49.00(39.00,57.00)points,76.00(69.25,82.00)points,and 86.00(82.00,88.00)points,respectively;the values of iHOT-12 were 0.45(0.28,0.58)points,0.69(0.58,0.80)points,and 0.81(0.70,0.92)points,respectively;the values of HOS-ADL were 0.52(0.42,0.68)points,0.87(0.75,0.93)points,and 0.93(0.86,0.99)points,respectively.The scores of VAS in the hip arthroscopy+PRP group before,at 12 months after surgery and at the last follow-up were 6.00(5.00,7.00)points,3.00(2.00,3.75)points,and 1.00(0.00,2.00
作者
李中耀
安明扬
吴毅东
于康康
王博达
李奕博
顾东强
王耀霆
王龙
王明新
郑佳鹏
李春宝
Li Zhongyao;An Mingyang;Wu Yidong;Yu Kangkang;Wang Boda;Li Yibo;Gu Dongqiang;Wang Yaoting;Wang Long;Wang Mingxin;Zheng Jiapeng;Li Chunbao(Department of Sports Medicine,Fourth Medical Center of PLA General Hospital,Beijing 100048,China;Department of Orthopedics,909th Hospital of Joint Logistic Support Force of PLA(Southeast Hospital Affiliated to Xiamen University),Zhangzhou 363000,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2023年第10期885-892,共8页
Chinese Journal of Trauma
基金
国家自然科学基金面上项目(82072517)
国家重点研发计划项目(2019YFE0126300)。
