髋关节镜手术的常见并发症分析△

An analysis on common complications of hip arthroscopy

摘要:

［目的］探讨髋关节镜常见的并发症及其预防与处理。［方法］ 2017 年 1 月—2020 年 1 月在本科行髋关节镜手术的患者共 365 例，对其并发症进行分析。［结果］ 365 例初次髋关节镜手术患者未发生主要并发症。次要并发症的发生率为 19.18%，依次为会阴区、下肢及足背麻木 （5.75%）；软骨损伤 （4.93%）；穿透盂唇 （2.19%）；异物 （2.74%）。此外，其他少见并发症还有灌注液进入腹膜间隔、射频引起的皮肤烧伤等。［结论］大部分髋关节并发症都不严重，其发生率随着病例数积累而逐渐减少，但仍应引起重视。

Abstract:

[Objective] To investigate the common complications of hip arthroscopy and its prevention and treatment. [Methods] From January 2017 to January 2020, a total of 365 patients underwent hip arthroscopy in our hospital, and their complications were analyzed. [Results] No major complications occurred in the 365 patients who underwent primary hip arthroscopy. The incidence of secondary complica- tions was 19.18%, involving numbness of perineal area and lower limb (5.75%) , cartilage injury (4.93%) , penetrating the labrum (2.19%) and foreign loose body (2.74%) . In addition, other rare complications include perfusion into the peritoneal septum and radiofrequency skin burns. [Conclusion] Most of the complications of hip joint were not serious, the number of cases gradually decreased with experience accu- mulation, whereas which still should be paid attention to.