BMJ:关节镜下髋关节手术治疗症状性髋臼撞击综合症

2019-02-12 zhangfan MedSci原创

研究认为,关节镜下髋关节手术治疗症状性髋臼撞击综合症的效果优于理疗

近日研究人员比较了关节镜下髋关节手术与理疗联合运动疗法对症状性髋臼撞击综合症(FAI)患者的疗效。

222名成年症状性FAI患者参与研究,患者病情经临床及影像学确证。随机接受关节镜下髋关节手术(n=112)或理疗联合运动疗法(n=110)。理疗组接受个体化的治疗,重点是改善稳定性和运动控制能力,理疗为期五个月内,最多接受八次物理治疗。关节镜手术组术后接受常规护理。研究的主要终点为干预8个月后髋关节日常生活评分(HOS ADL),得分差异9以内认为无显著差异。

手术组8个月平均HOS ADL得分为78.4分,理疗组为69.2分。经基线HOS ADL、年龄、性别调整后,手术组得分较理疗组高10分。未出现严重的不良事件。

研究认为,关节镜下髋关节手术治疗症状性髋臼撞击综合症的效果优于理疗。

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    2019-04-11 gaoxiaoe
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