无会阴柱牵引下髋关节镜手术△

Hip arthroscopy without a perineal post traction

摘要:

［目的］介绍无会阴柱牵引下髋关节镜的手术技术和初步临床效果。［方法］对 3 例髋臼撞击综合征、盂唇损伤的患者在无会阴柱牵引下行髋关节镜探查清理、髋臼及股骨头成形、盂唇缝合手术治疗。术中不使用会阴柱牵引，患者仰卧于常规手术牵引床上，采用手术床头低脚高 15°位，配合约束带固定的方法，牵开关节间隙，结合术中透视验证牵引效果，无需额外物料辅助。［结果］3 例患者均顺利完成手术，未出现手术并发症。术后 1 周随访，手术侧 VAS 评分均较术前明显降低。［结论］ 无会阴柱牵引技术可以有效解决髋关节镜手术会阴区压迫导致的并发症问题，该技术条件要求少，技术门槛低，有很好的临床应用前景。

Abstract:

[Objective] To introduce the surgical technique and preliminary clinical outcomes of hip arthroscopy without a perineal post traction. [Methods] A total of 3 patients underwent hip arthroscopy without perineal post traction for acetabular impingement syndrome and glenoid labral injury by exploration and debridement, acetabulum and femoral head molding, and glenoid labral sutured. Without the perine- al post traction used during the operation, the patient was placed on the conventional traction table with 15° higher of the feet end than the head end. Combined with the methods of binding band fixation, the joint space was to open up by traction during the operation. The intraoper- ative fluoroscopy was used to verify the traction effect without additional material assistance. [Results] All the 3 patients had operation per- formed successfully without surgical complications, and were followed up for 1 week postoperatively. The VAS scores of the affected side sig- nificantly decreased postoperatively compared with that before operation. [Conclusion] This technique without perineal post traction does effectively solve the complications caused by perineal compression in hip arthroscopy with few requirements, and is easy to get started with good clinical application prospect.