Martin Hal David, Hatem Munif, Gómez-Hoyos Juan, Pérez-Carro Luis, Khoury Anthony N
Hip Preservation Center, Baylor University Medical Center at Dallas, Dallas, Texas.
Clinica del Campestre and School of Medicine, University of Antioquia, Medellin, Colombia.
Proc (Bayl Univ Med Cent). 2020 Jul 6;33(4):550-553. doi: 10.1080/08998280.2020.1776813.
The treatment of hip and pelvic pain associated with abnormalities of the deep gluteal space has evolved and increasingly involves endoscopic techniques with a saline expansion medium. This investigation presents a surgical technique utilizing carbon dioxide as the insufflation medium for deep gluteal space endoscopy in 17 cadaveric hips. This technique was successful in 94% (16/17) of the hips, allowing for visualization of the sciatic nerve, posterior femoral cutaneous nerve, pudendal nerve, branch of the inferior gluteal artery crossing the sciatic nerve, piriformis muscle, hamstring tendon origin, and lesser trochanter. Our experience suggests that gas expansion presents several advantages over fluid expansion.
与臀深部间隙异常相关的髋部和骨盆疼痛的治疗方法不断发展，越来越多地涉及使用生理盐水扩张介质的内镜技术。本研究介绍了一种在17具尸体髋关节中利用二氧化碳作为臀深部间隙内镜检查注入介质的手术技术。该技术在94%（16/17）的髋关节中取得成功，能够观察到坐骨神经、股后皮神经、阴部神经、臀下动脉越过坐骨神经的分支、梨状肌、腘绳肌腱起点和小转子。我们的经验表明，气体扩张相对于液体扩张具有若干优势。
