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[髋关节镜检查的临床应用进展]

[Clinical application progress of hip arthroscopy].

作者信息

Ruan Jian-wei, Chen Ming

机构信息

Department of Orthopaedics, the Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China.

出版信息

Zhongguo Gu Shang. 2011 Sep;24(9):794-7.

Abstract

The hip arthroscopy develops quickly in the past 20 years. Its use in the diagnosis and treatment of the hip injury get more notably. Many of pathologic conditions previously unrecognized through X-ray, CT or MRI have been diagnosed correctly under hip arthroscopy. The technology has become gradually a golden standard to confirm the hip discords. In the present, the examining path of the hip arthroscopy contains mainly the outside path, the anterior path, the outside-posterior path. The application range of the hip arthroscopy includes the management of labral tears, the femoroacetabular impingement, the ligamentum tear injuries, the chondral lesions, the synovical abnormalities, the intra-articular infection, the loose bodies in the joint etc. The hip arthroscopy is a comprehensive technology. Its superiority can be reflect well if the doctors are familiar with the indication, the contraindication and the operation procedure. And also the thorough physical examination and imaging examination should be made before operation, as well as reasonable and effective postoperative function training should be conducted.

摘要

髋关节镜检查在过去20年中发展迅速。其在髋关节损伤诊断和治疗中的应用愈发显著。许多先前通过X线、CT或MRI无法识别的病理状况在髋关节镜检查下得以正确诊断。该技术已逐渐成为确诊髋关节不协调的金标准。目前,髋关节镜检查的入路主要包括外侧入路、前方入路、外侧-后方入路。髋关节镜检查的应用范围包括处理盂唇撕裂、股骨髋臼撞击症、韧带撕裂伤、软骨损伤、滑膜异常、关节内感染、关节内游离体等。髋关节镜检查是一项综合技术。如果医生熟悉其适应证、禁忌证及手术操作流程,就能很好地体现其优势。并且术前应进行全面的体格检查和影像学检查,术后还应进行合理有效的功能训练。

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