髋关节一过性滑膜炎通常为良性病程,复发不常见。[4]Uziel Y, Butbul-Aviel Y, Barash J, et al. Recurrent transient synovitis of the hip in childhood. Long-term outcome among 39 patients. J Rheumatol. 2006 Apr;33(4):810-1.http://www.ncbi.nlm.nih.gov/pubmed/16583482?tool=bestpractice.com 推荐密切随访。如果任何时候疼痛加重或持续超过 7-10 天,则需要进行进一步评估,以排除其他疾病。[14]Asche SS, van Rijn RM, Bessems JH, et al. What is the clinical course of transient synovitis in children: a systematic review of the literature. Chiropr Man Therap. 2013 Nov 14;21(1):39.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831260/http://www.ncbi.nlm.nih.gov/pubmed/24229447?tool=bestpractice.com 虽然复发后有大约 10% 的儿童会表现出慢性炎症,但通常是良性的病程。[4]Uziel Y, Butbul-Aviel Y, Barash J, et al. Recurrent transient synovitis of the hip in childhood. Long-term outcome among 39 patients. J Rheumatol. 2006 Apr;33(4):810-1.http://www.ncbi.nlm.nih.gov/pubmed/16583482?tool=bestpractice.com 长期随访表明,12% 至 28% 的患者在强体力活动后感到髋关节疼痛,0% 至 18% 的患者髋关节活动受到某种程度的限制。[14]Asche SS, van Rijn RM, Bessems JH, et al. What is the clinical course of transient synovitis in children: a systematic review of the literature. Chiropr Man Therap. 2013 Nov 14;21(1):39.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831260/http://www.ncbi.nlm.nih.gov/pubmed/24229447?tool=bestpractice.com