关节镜治疗强直性脊柱炎致髋关节早期病变的近中期疗效分析

彭阳; 杨柳; 陈光兴; 陈昊; 熊然

doi:10.16016/j.1000-5404.201807185

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关节镜治疗强直性脊柱炎致髋关节早期病变的近中期疗效分析

临床医学 | 更新时间：2026-01-09

- 关节镜治疗强直性脊柱炎致髋关节早期病变的近中期疗效分析
- Arthroscopic treatment for early stage hip joint disease caused by ankylosing spondylitis: an analysis of almost mid-term clinical efficacies
- 第三军医大学学报 2018年40卷第21期页码：1985-1990
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201807185
  中图分类号：
- 收稿：2018-07-27，
  
  纸质出版：2018-11-15
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彭阳, 杨柳, 陈光兴, 等. 关节镜治疗强直性脊柱炎致髋关节早期病变的近中期疗效分析[J]. 第三军医大学学报, 2018,40(21):1985-1990.

Yang PENG, Liu YANG, Guangxing CHEN, et al. Arthroscopic treatment for early stage hip joint disease caused by ankylosing spondylitis: an analysis of almost mid-term clinical efficacies[J]. Journal of Third Military Medical University, 2018, 40(21): 1985-1990.
彭阳, 杨柳, 陈光兴, 等. 关节镜治疗强直性脊柱炎致髋关节早期病变的近中期疗效分析[J]. 第三军医大学学报, 2018,40(21):1985-1990. DOI： 10.16016/j.1000-5404.201807185.

Yang PENG, Liu YANG, Guangxing CHEN, et al. Arthroscopic treatment for early stage hip joint disease caused by ankylosing spondylitis: an analysis of almost mid-term clinical efficacies[J]. Journal of Third Military Medical University, 2018, 40(21): 1985-1990. DOI： 10.16016/j.1000-5404.201807185.

摘要

Abstract

Objective

To explore clinical effect of arthroscopic treatment for early stage hip joint disease caused by ankylosing spondylitis (AS).

Methods

A total of 24 cases with early stage hip joint disease caused by AS undergoing scheduled arthroscopic surgery in our hospital from November 2010 to April 2014 were enrolled in this study. They were 21 males and 3 females

at a mean age of 25.2±5.1 (11~46) years

with AS course of 6.8±1.5 (2~17) years and hip involvement of 21.4±6.8 (6~32) months. After arthroscopic removal of joint cavity and synovectomy

all the patients were followed up for at least 2 years. Harris hip score system (HHS) was used to evaluate hip function and recovery of hip motion preoperatively and at 2 year postoperatively. Pain visual analogue scale (VAS) was employed to assess hip pain relief status. What's more

erythrocyte sedimentation rate (ESR) was measured by Westergren blood test

and serum C-reactive protein (CRP) level was by chemiluminescent assay.

Results

After at least 2 years' follow-up

the ESR was decreased from 46.24±5.36 mm/h preoperatively to 20.12±2.84 mm/h

and serum CRP was reduced from 32.57±1.24 mg/L to 14.05±0.86 mg/L in all the patients (both

0.001). HSS was also decreased from 61.52±7.24 to 88.24±12.52

and VAS score was from 5.04±1.48 to 2.16±1.15 (

0.001). At the last follow-up

the range of flexion and extension and that of adduction and outreach were (108.42±8.15)° and (36.56±2.75)°

respectively

significantly higher than the ranges preoperatively [(72.74±7.92)°

(28.24±1.95)°

0.001

]

Conclusion

Arthroscopic removals of joint cavity and synovectomy improve hip function in the patients with early stage hip joint disease caused by AS

promote hip mobility

and reduce pain

with signficant clinical effects and high safety in almost mid-term.

关键词

Keywords

references

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