探讨膝关节镜下行膝关节交叉韧带重建修复临床效果.docVIP

探讨膝关节镜下行膝关节交叉韧带重建修复临床效果 　　[摘要] 目的 探讨膝关节镜下行膝关节交叉韧带重建修复的临床效果。 方法 选取我院2014年3月～2017年3月共102例交叉韧带损伤患者作为研究对象，以随机分配为原则，分为观察组和对照组各51例。对照组患者在膝关节镜下采取同种异体肌腱重建术进行治疗，观察组患者在膝关节镜下采取自体胭绳肌腱重建术进行治疗，比较两组患者的临床疗效。 结果 观察组患者不良反应发生率低于对照组，差异有统计学意义（P0.05），不具备统计学意义。 结论 膝关节镜下同种异体肌腱重建术和自体胭绳肌腱重建术修复交叉韧带均具有良好的临床疗效，自体胭绳肌腱重建术的并发症发生率更低，安全性、可行性较高，值得在临床推广应用。 　　[关键词] 膝关节镜下；交叉韧带重建修复；治疗；效果 　　[中?D分类号] R687.4 [文献标识码] A [文章编号] 2095-0616（2017）15-193-03 　　[Abstract] Objective To explore the clinical effect of cruciate ligament reconstruction and repair of knee joint under knee arthroscopy. Methods 102 patients with cruciate ligament injuries in our hospital from March 2014 to March 2017 were selected as research objects.According to random allocation principle，they were divided into the observation group and the control group，with 51 in each.Patients in the control group were given allogenic tendon graft reconstruction for treatment while patients in the observation group were given hamstring tendons reconstruction for treatment.Clinical curative effects of patients in two groups were compared. Results Rate of adverse reactions of patients in the observation group was lower than that in the control group.The difference was significant（P0.05） and there was no statistical significance. Conclusion Allogenic tendon graft reconstruction and hamstring tendons reconstruction under knee arthroscopy both have good clinical curative effect.Complication rate of hamstring tendons reconstruction is lower and it has higher safety and feasibility，which is worthy of clinical promotion and application 　　[Key words] Knee arthroscopy；Cruciate ligament reconstruction and repair；Treatment；Effect 　　虽然创伤性膝关节脱位属于较少见的一种严重性损伤，但随着交通事故率、剧烈运动损伤率的增加，人们逐渐加强了对于该病的认识，韧带损伤造成的膝关节创伤性脱位发生率逐年增高，所以应针对韧带损伤进行积极治疗[1]。交叉韧带损伤是临床中的常见膝关节病症，大多是由于外力作用引起的，例如扭伤、跌倒等[2]。目前，临床中膝关节镜下膝关节交叉韧带重建修复术是较常见的治疗方式，临床疗效显著，能够保证患者膝关节的稳定性[3]。其中包括异体肌腱重建和自体胭绳肌腱重建两种方式，本次研究探讨了这两种治疗方式的优劣，取得了良好的成果，具体报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取我院2014年3月～2017年3月共102例交叉韧带损伤患者作为研究对象，以随机分配为原