Zsákai Zsolt, Gömöri András, Papp Miklós
Ortopéd Sebészeti Osztály,Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató KórházMiskolc, Pf. 680, 3548.
Baleseti Sebészeti Osztály,Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató KórházMiskolc.
Orv Hetil. 2020 Mar;161(9):340-346. doi: 10.1556/650.2020.31668.
As a minimally invasive procedure, hip arthroscopy plays an increasingly significant role in the diagnostics and management of hip joint diseases. In this study, we present our initial experience with hip arthroscopy established at our department. Our aim was to integrate the hip arthroscopy procedure into the surgical protocol of our department, since after reviewing the relevant literature and evaluating our experience gained during study visits abroad, we consider this intervention to be a reasonable and successful technique. Results of 29 hip arthroscopy interventions performed between 01 January 2017 and 15 April 2019 at our department were evaluated by comparing pre- and postoperative modified Harris hip scores (mHHS). Surgeries were performed with 30-degree scopes, typically standard access sites. The typical indication for surgery was hip impingement syndrome. Isolated cam deformity, isolated pincer deformity and mixed deformity were detected in 3, 9 and 13 cases, respectively. The mean age of the 13 male and 16 female subjects was 44.1 years. The age of our patients ranged between 22 years and 60 years. After surgery, significant improvement of mHHS was detected both according to the F-test and the Student's t-test. Hip arthroscopy is an appropriate treatment alternative for the surgical management of many hip conditions. Even though the learning curve is longer than that of the endoscopic examinations of other joints, adequate surgical design can minimise the risk of complications, making this intervention a potential solution for the management of multiple hip conditions. Orv Hetil. 2020; 161(9): 340-346.
作为一种微创手术，髋关节镜检查在髋关节疾病的诊断和治疗中发挥着越来越重要的作用。在本研究中，我们介绍了在我们科室开展髋关节镜检查的初步经验。我们的目标是将髋关节镜检查纳入我们科室的手术方案，因为在查阅相关文献并评估我们在国外学习访问期间获得的经验后，我们认为这种干预是一种合理且成功的技术。通过比较术前和术后改良Harris髋关节评分（mHHS），对2017年1月1日至2019年4月15日在我们科室进行的29例髋关节镜手术的结果进行了评估。手术使用30度的关节镜，通常采用标准入路部位。手术的典型指征是髋关节撞击综合征。分别在3例、9例和13例中检测到孤立的凸轮畸形、孤立的钳夹畸形和混合畸形。13名男性和16名女性受试者的平均年龄为44.1岁。我们患者的年龄在22岁至60岁之间。手术后，根据F检验和学生t检验，均检测到mHHS有显著改善。髋关节镜检查是许多髋关节疾病手术治疗的合适替代方法。尽管学习曲线比其他关节的内镜检查更长，但适当的手术设计可以将并发症风险降至最低，使这种干预成为治疗多种髋关节疾病的潜在解决方案。《匈牙利医学周报》。2020年；161(9):340 - 346。
