摘要
目的对关节镜下行同种异体韧带与自体肌腱进行前交叉韧带（ACL）重建的中远期临床疗效作出评估。方法对86例膝关节ACL病例进行回顾性分析，按手术方法不同分为A组和B组。其中A组应用同种异体韧带，共48例：B组应用自体肌腱重建前交叉韧带．共38例。对比两种方法术后1～5年期间患者膝关节功能评估（Lysholm评分和膝关节疼痛程度）和膝关节客观评定。结果术后2年，两组的膝关节功能评估的Lysholm评分评分结果有明显差异性（P〈0．05）。术后膝关节疼痛程度评价结果显示，术后2年及3年B组患者主观疼痛评分均高于A组（P〈0．05）。术后2年膝关节疼痛客观评定结果显示，屈伸受限及稳定性试验B组优于A组（P〈0．05）。结论自体肌腱重建前交叉韧带中期疗效较同种异体韧带好，根据情况可优先选择。
Objective To evaluate the clinical medium and long-term efficacy of arthroscopic reconstruction of anterior cruciate ligament （ACL） by allogeneic ligament and autogenous tendon. Methods 86 cases of ACL were retrospectively analyzed and divided into group A and B as the differences of the surgeries. Allogeneic ligament was applied in the pa- tients from group A with 48 cases and autogenous tendon was adopted to reconstruct the ACL in the patients from group B with 38 cases. Functional evaluation of knee joint （Lysholm scoring and pain degree of knee joint） and objec- tive evaluation of knee joint of the patients within 1-5 years after the two surgeries was compared. Results Significant differences were presented in the Lysholm scoring of the patients from both groups 2 years after the surgeries （P〈0.05）. The objective evaluation of pain of patients from group B were higher than those of group A 2 and 3 years after the surgeries shown by the pain degree evaluation of the knee joint （P〈0.05）. The result of flexion and extension restriction and stability test of group B were better than those of group A （P〈0.05）. Conclusion The medium-term effect of recon- struction of anterior cruciate ligament by autogenous tendon is better than the allogeneic ligament, which can be chosen according to the specific situation.
出处
《中国现代医生》
2016年第16期53-56,共4页
China Modern Doctor
基金
浙江省自然科学基金(LY15H270008)
关键词
关节镜
前交叉韧带
同种异体韧带
自体肌腱
Arthroscopic
Anterior cruciate ligament
Allogeneic ligament
Autogenous tendon
