[1]权 冬,曾钦梅,张 维,等.关节镜下射频手术治疗军事训练相关外侧型弹响髋的临床研究[J].医学信息,2019,32(03):107-109.[doi:10.3969/j.issn.1006-1959.2019.03.033]
　QUAN Dong,ZENG Qin-mei,ZHANG Wei,et al.Clinical Study of Arthroscopic Radiofrequency Ablation forMilitary Training Related External Snapping Hip[J].Journal of Medical Information,2019,32(03):107-109.[doi:10.3969/j.issn.1006-1959.2019.03.033]
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关节镜下射频手术治疗军事训练相关外侧型弹响髋的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年03期
页码:
107-109
栏目:
临床研究
出版日期:
2019-02-01

文章信息/Info

Title:
Clinical Study of Arthroscopic Radiofrequency Ablation forMilitary Training Related External Snapping Hip
文章编号:
1006-1959（2019）03-0107-03
作者:
权 冬1; 曾钦梅1; 张 维1; 李 婷1; 亢 佩1; 苏 志1; 聂林洋1; 程 杨1; 刘 雯2
（1.解放军第五一八医院骨科，陕西 西安 710043；2.空军军医大学口腔医院医疗科，陕西 西安 710032）
Author(s):
QUAN Dong1; ZENG Qin-mei1; ZHANG Wei1; LI Ting1; KANG Pei1; SU Zhi1; NIE Lin-yang1; CHENG Yang1; LIU Wen2
(1.Department of Orthopaedics,The 518 PLA Hospital,Xi'an 710043,Shaanxi,China;2.Department of Medicine,Stomatology Hospital,Air Force military Medical University,Xi'an710032,Shaanxi,China)
关键词:
军事训练; 外侧型弹响髋; 关节镜; 射频治疗
Keywords:
Military training; External snapping hip; Arthroscopy; Radiofrequency treatment
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2019.03.033
文献标志码:
A
摘要:
目的 探究军事训练相关外侧型弹响髋关节镜下射频手术治疗的方法与疗效。方法 2013年1月~2017年7月本院共完成23例（26髋）部队官兵军事训练引起的外侧型弹响髋关节镜下的射频手术治疗。手术前后采用牛津大学髋关节评分（OHS）评估髋关节功能，疼痛视觉模拟量表（VAS）评估疼痛缓解程度，记录患者术后并发症情况。结果 所有患者术后患髋活动时弹响消失，活动度恢复正常，术后无感染、血管神经损伤、关节活动受限等并发症。末次随访时患者OHS评分[（74.12±8.17）分vs（27.68±5.85）分]及VAS评分[（5.43±1.25）分vs（1.73±1.46）分]均较术前改善，差异均有统计学意义（P＜0.05）。结论 关节镜下射频治疗军事训练所致外侧型弹响髋，患者术后髋关节功能恢复良好，疼痛轻，具有预后好、创伤小、操作简单的特点。
Abstract:
Objective To explore the methods and effects of radiosurgery for arthroscopic hip-assisted hip arthroscopy.Methods From January 2013 to July 2017, a total of 23 cases (26 hips) of military officers and soldiers under the military training of the external type of hip arthroscopic radiofrequency surgery were performed. The hip function was assessed by the Oxford University Hip Score (OHS) before and after surgery. The Pain Visual Analog Scale (VAS) was used to assess the degree of pain relief and the postoperative complications were recorded.Results In all patients, the hips disappeared when the hips were active, the activity returned to normal, and there were no complications such as infection, vascular nerve injury, and limited joint activity.At the last follow-up, patients' OHS scores [(74.12±8.17) points vs.(27.68±5.85) points] and VAS scores [(5.43±1.25) points vs.(1.73±1.46)points] were improved compared with preoperative changes,the differences were statistically significant (P<0.05).Conclusion Arthroscopic radiofrequency treatment for lateral training of the hip is caused by military training. The postoperative hip function is well recovered, the pain is light, and the prognosis is good, the trauma is small, and the operation is simple.

参考文献/References:


[1]Park JS,Kim WJ,Lee DW,et al.External Snapping Hip Treated by Effective Designed N-plasty of the Iliotibial Band[J].Hip Pelvis,2017,29(3):187-193.
[2]丁权威,张杰,吴泽庭,等.外侧型弹响髋临床诊治的研究进展[J].中国骨伤,2018,31(5):484-487.
[3] Pierce TP,Kurowicki J,Issa K,et al.External snapping hip: a systematic review of outcomes following surgical intervention: External snapping hip systematic review[J].Hip International,2018,28(5):468-472.
[4]武强,尹峰,蔡俊丰,等.小切口髂胫束松解术治疗外侧型弹响髋[J].中国骨与关节损伤杂志,2015(S1):85-86.
[5]刘玉杰.骨科精粹系列:实用关节镜手术学[M].北京:化学工业出版社,2017.
[6]Youn YJ,Suk KH,Sup YK,et al.Arthroscopic Treatment for External Snapping Hip[J].Hip and Pelvis,2014,26(3):173-177.
[7]岳欣,戴冬梅,张美玲.2007-2017年我国军事训练伤文献计量分析[J].解放军医院管理杂志,2018,25(06):597-600.
[8]Gan Z,Yang GL,Fan YF,et al.China's growing contribution to military Chinese medicine(2005-2014):a ten-year literature survey[J].Journal of Integrative Medicine,2016,14(06):480-484.
[9]吴安平,曾跃林,陈铖,等.军事训练导致臀肌挛缩症的分级治疗方法[J].中国骨与关节损伤杂志,2018,33(2):172-173.
[10]唐翔宇,李春宝,刘玉杰,等.关节镜下大转子周围组织松解术治疗臀肌挛缩症[J].中国骨与关节杂志,2017,6(9):661-664.
[11]Dai Z,Chen ZW,Liao Y.Comparison of arthroscopic versus open surgery on external snapping hip caused by gluteal muscle contracture[J].Hip International,2018,28(2):173-177.
[12]Shrestha A,Wu P,Ge H,et al.Clinical outcomes of arthroscopic surgery for external snapping hip[J].Journal of Orthopaedic Surgery and Research,2017,12(1):81.
[13]刘伟乐,杨国华,巫文中.高负压引流在关节镜治疗弹响髋术后应用的效果观察[J].中国医药科学,2015,5(4):200-202.
[14]Nam KW,Yoo JJ,Koo KH,et al.A modified Z-plasty technique for severe tightness of the gluteus maximus[J].Scandinavian Journal of Medicine & Science in Sports,2011,21(1):85-89.

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更新日期/Last Update: 2019-02-25