目的:评价髋部小针刀软组织松解配合局部理疗综合治疗股骨髋臼撞击征的临床疗效。方法:选择我院2022年3月到2023年12月共52例确诊为股骨髋臼撞击征患者,随机分为两组,每组各26例,分别予以X线透视定位下行髋部小针刀软组织松解配合术后局部理疗的综合治疗和单纯局部理疗。观察临床疗效,采用Harris髋关节评分,分别在治疗后3天、1个月、6个月进行对比。结论:C臂定位下对病变组织进行针刀松解术针刀配合局部理疗是一种治疗股骨髋臼撞击征的有效治疗方式,安全可靠,经济实惠,适合进一步推广应用。结果:两组患者在疼痛、生活能力、行走能力、关节活动度等方面都有明显差异(P Objective: To evaluate the clinical efficacy of needle knife combined with local physical therapy in the comprehensive treatment of femoral acetabular impingement syndrome. Method: A total of 52 patients diagnosed with femoral acetabular impingement syndrome in our hospital from March 2022 to December 2023 were randomly divided into two groups, with 26 cases in each group. They were treated with comprehensive treatment of needle knife under X-ray fluoroscopy positioning combined with postoperative local physical therapy, and simple local physical therapy. Observing clinical efficacy, Harris hip joint score was used for comparison at 3 days, 1 month, and 6 months after treatment. Conclusion: Needle knife surgery under C-arm positioning combined with local physical therapy is an effective treatment for femoral acetabular impingement syndrome, which is safe, reliable, economical, and suitable for further promotion and application. There were significant differences (P < 0.05) between the two groups of patients in terms of pain, living ability, walking ability, and joint mobility.
目的探究术前中性粒细胞与淋巴细胞比值(neutrophil to lymphocyte ratio,NLR)、血小板与淋巴细胞比值(platelet to lymphocyte ratio,PLR)预测髋关节镜治疗股骨髋臼撞击综合征短期疗效的价值。方法选择2022年1月至2024年1月于沧州市人民医院就诊并接受髋关节镜手术治疗的58例股骨髋臼撞击综合征病人作为研究对象。术前采用全自动血细胞分析仪检测所有病人的血常规,记录中性粒细胞、淋巴细胞和血小板绝对数,计算NLR和PLR。记录术前及术后6个月的改良Harris髋关节功能评分(modified Harris hip scores,mHHS),根据mHHS改善程度是否≥50%将病人分为疗效显著组和疗效不显著组。采用受试者特征(receiver operating characteristic,ROC)曲线评估术前NLR、PLR及两者联合对病人术后短期疗效的预测效能,采用Pearson相关性分析评估术前NLR、PLR与术后6个月mHHS评分的相关性。结果术后6个月时58例病人的mHHS评分较术前显著升高,疗效显著者27例,疗效不显著者31例,疗效不显著组的术前NLR、PLR较疗效显著组显著增高,差异有统计学意义(P<0.05)。术前NLR、PLR及两者联合预测病人术后疗效不显著的曲线下面积(area under curve,AUC)分别为0.735[95%CI(0.604,0.865)]、0.774[95%CI(0.654,0.894)]和0.876[95%CI(0.781,0.971)]。术前NLR、PLR均与术后mHHS评分呈显著负相关(r=-0.382,P=0.002;r=-0.488,P<0.001)。结论术前NLR、PLR与术后mHHS评分呈显著负相关,两者联合对股骨髋臼撞击综合征经髋关节镜治疗后的短期疗效具有一定预测价值。
