关节镜下自体骨髌腱-骨与髂胫束重建前交叉韧带的临床研究.pdfVIP

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2016-03-25 发布于贵州
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关节镜下自体骨髌腱-骨与髂胫束重建前交叉韧带的临床研究.pdf

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关节镜下自体骨髌腱-骨与髂胫束重建前交叉韧带的临床研究

目录中文摘要 ···················································4 英文摘要 ···················································5 引言 ····················································7 正文 ····················································8 1.临床资料 ················································8 1.1分组 ·····················································8 1.2 一般资料 ·················································8 1.3 病例纳入标准 ·············································9 1.4 病例排除标准 ·············································9 1.5 观察指标 ················································10 1.6 手术方法及研究内容 ······································10 1.7 数据处理和统计分析 ······································12 2.结果 ····················································12 2.1 两组术后关节稳定度的比较································12 2.2 两组术后膝关节的功能评价比较····························12 2.3 两组术后膝关节活动度的比较······························13 2.4 两种术后大腿周径的比较 ··································13 2.5 两种术后髌股痛的比较 ·······························13 3.讨论 ····················································14 4.结论 ··················································16 参考文献 ··················································18 附录 ··················································20 综述 ··················································24 致谢 ··················································32 攻读学位期间发表的学术论文目录 ·······················33 - 2 - 作者声明 ··················································34 个人简历 ··················································35 - 3 - 中文摘要目的：通过观察前交叉韧带(ACL)损伤后应用自体骨-髌腱-骨可吸收界面螺钉固定法和髂胫束螺钉固定法重建ACL后1～3年的中期临床疗效，探讨不同方法自体移植物和固定方式与临床效果的相关性。为关节镜下 ACL损伤自体移植物的重建总结出合理实用的方法。方法：选取32例应用自体骨-髌腱-骨界面螺钉固定法做为观察组(BPB 组)；30例应用髂胫束螺钉固定法做为对照组(IT组)，对术后的Lachman 试验、轴移试验等关节稳定性评价，国际膝关节文献委员会( IKDC)评分、 Lysholm评分、关