关节镜下应用自体绳肌腱重建前交叉韧带临床分析.docVIP

关节镜下应用自体绳肌腱重建前交叉韧带临床分析 　　[摘要] 目的 探讨关节镜下应用自体?绳肌腱重建前交叉韧带的临床疗效。 方法 选取本院收治的60例膝关节前交叉韧带损伤患者，随机均分为对照组和观察组，对照组给予关节镜下异体肌腱前交叉韧带重建术，观察组给予关节镜下自体?绳肌腱前交叉韧带重建术，术后追踪随访2年，比较两组患者手术前后患肢X线检查、Lysholm评分以及Tegner功能评分的差异。 结果 两组患者术后Lachman征和旋转移位试验均为阴性，术后X线检查无退行性改变，术后Lysholm评分和Tegner功能评分均显著高于术前（P0.05）。 结论 关节镜下应用自体?绳肌腱重建前交叉韧带的疗效确切，与异体肌腱疗效相当，可有效恢复患者的膝关节功能，性价比更高，适合基层医院应用，值得临床推广使用。 　　[关键词] 关节镜；自体?绳肌腱；前交叉韧带损伤 　　[中图分类号] R684.7[文献标识码] B[文章编号] 1674-4721（2014）06（a）-0171-03 　　 　　Analysis on clinical efficacy of autogenous hamstring tendon for arthroscopic anterior cruciate ligament (ACL) reconstruction 　　XIAO Qing LI Qing GU Xiao-jun 　　Orthopedics Department,Yushan People′s Hospital of Shangrao City in Jiangxi Province, Shangrao 334700,China 　　[Abstract] Objective To investigate the clinical efficacy of autogenous hamstring tendon for arthroscopic anterior cruciate ligament (ACL) reconstruction.Methods 60 cases of front knee cruciate ligament injury in our hospital were randomly divided into control group and observation group.The control group were treated with tendon allograft for arthroscopic ACL reconstruction.The observation group were treated with autogenous hamstring tendon for arthroscopic ACL reconstruction.All patients were followed up for 2 years.The limb X-ray examination,Lysholm score and Tegner function score before and after surgery of two groups were compared. Results The Lachman sign and rotating shift tests of two groups were both negative.X-ray examination postoperative had no degenerative changes.The Lysholm score and Tegner function score postoperative were significantly higher than preoperative (P0.05). Conclusion Autogenous hamstring tendon for arthroscopic ACL reconstruction has exact effect,which was equal to allogeneic tendon.It can effectively restore knee function with more cost-effective for primary hospital.It worthy of clinical widely used. 　　[Key words] Arthroscopy;Autogenous hamstring tendon;Anterior cruciate ligament injury 　　前交叉韧带损伤是临床常见的膝关节损伤，好发于车祸、运动伤以及高处坠落伤，发病率逐年