[1]赫晓康,姜 飞,刘 波,等.保留与非保留残端前交叉韧带重建的疗效比较[J].医学信息,2022,35(03):121-123.[doi:10.3969/j.issn.1006-1959.2022.03.030]
　HE Xiao-kang,JIANG Fei,LIU Bo,et al.Efficacy Comparison of Retaining Ligament Stump and Non-reserving Stump onAnterior Cruciate Ligament Reconstruction[J].Medical Information,2022,35(03):121-123.[doi:10.3969/j.issn.1006-1959.2022.03.030]
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保留与非保留残端前交叉韧带重建的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年03期
页码:
121-123
栏目:
论著
出版日期:
2022-02-01

文章信息/Info

Title:
Efficacy Comparison of Retaining Ligament Stump and Non-reserving Stump onAnterior Cruciate Ligament Reconstruction
文章编号:
1006-1959（2022）03-0121-03
作者:
赫晓康; 姜 飞; 刘 波; 伊尔凡江·吐尔逊
阿克苏地区第一人民医院骨二科，新疆 阿克苏 843000
Author(s):
HE Xiao-kang; JIANG Fei; LIU Bo; Yierfanjiang·Tuerxun
The Second Department of Orthopedics,the First People’s Hospital of Aksu Prefecture,Aksu 843000,Xinjiang,China
关键词:
保留残端; 前交叉韧带; 关节镜; 膝关节功能
Keywords:
Retaining ligament stump; Anterior cruciate ligament; Arthroscopy; Knee joint function
分类号:
R678.4
DOI:
10.3969/j.issn.1006-1959.2022.03.030
文献标志码:
A
摘要:
目的 观察保留与非保留残端前交叉韧带重建的临床疗效。方法 选取2019年6月-2020年6月在我院进行关节镜下前交叉韧带重建的50例患者为研究对象，采用随机数字表法分为对照组和观察组，各25例。对照组实施非保留残端前交叉韧带重建，观察组实施保留残端前交叉韧带重建，比较两组Lysholm 膝关节功能评分、KT-2000 前移距离、被动活动察觉阈值、被动角度以及两组临床不良反应发生情况。结果 术后3、6个月两组Lysholm 膝关节功能评分均高于术前，且观察组术后3个月Lysholm膝关节功能评分高于对照组，差异有统计学意义（P＜0.05）；两组术后6个月Lysholm 膝关节功能评分比较，差异无统计学意义（P＞0.05）；术后6个月，两组KT-2000前移距离、被动活动察觉阈值、被动角度均低于术前，且观察组KT-2000前移距离、被动活动察觉阈值、被动角度低于对照组，差异有统计学意义（P＜0.05）；观察组不良反应发生率为8.00%，与对照组的12.00%比较，差异无统计学意义（P＞0.05）。结论 非保留残端与保留残端前交叉韧带重建术均可获得良好的治疗效果，但保留残端可快速恢复膝关节功能、本体感觉，且不良反应少，具有良好的应用有效性和安全性。
Abstract:
Objective To observe the clinical effect of retaining ligament stump and non-reserving stump on anterior cruciate ligament reconstruction.Methods A total of 50 patients who underwent arthroscopic anterior cruciate ligament reconstruction in our hospital from June 2019 to June 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 25 cases in each group. The control group was treated with non-reserving stump on anterior cruciate ligament reconstruction, and the observation group was treated with retaining ligament stump on anterior cruciate ligament reconstruction. The Lysholm knee function score, KT-2000 forward distance, passive activity detection threshold, passive angle and clinical adverse reactions of the two groups were compared.Results The Lysholm knee function scores of the two groups at 3 and 6 months after operation were higher than those before operation, and the Lysholm knee function score of the observation group at 3 months after operation was higher than that of the control group, the difference was statistically significant (P<0.05); there was no significant difference in Lysholm knee function score between the two groups at 6 months after operation (P>0.05). The KT-2000 forward distance, passive activity perception threshold and passive angle of the two groups at 6 months after operation were lower than those before operation, and the KT-2000 forward distance, passive activity perception threshold and passive angle of the observation group were lower than those of the control group, the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 8.00%, which was compared with 12.00% in the control group, the difference was not statistically significant (P>0.05).Conclusion Retaining ligament stump and non-reserving stump on anterior cruciate ligament reconstruction can both obtain good results, but retaining ligament stump can quickly restore knee joint function and proprioception, with less adverse reactions, and good application effectiveness and safety.

参考文献/References:

[1]张其亮,赵蕾,滕学仁.保留残端前交叉韧带重建对膝关节本体感觉恢复的影响临床研究[J].中国运动医学杂志,2015,34(8):739-743.[2]王峻,李雁,于滕波,等.保留与非保留残端的前交叉韧带重建:6个月随访[J].中国组织工程研究,2015,19(29):4640-4644.[3]周志鹏.神经肌肉功能与前交叉韧带损伤生物力学危险因素的相关性研究[D].北京:北京体育大学,2018.[4]许锦煌,黄建荣,尹萍,等.保留残端对前交叉韧带重建术后恢复的临床意义[J].中国临床解剖学杂志,2015,33(5):584-587.[5]冯馨元,白伦浩.保留前交叉韧带残端对膝关节稳定性的意义[J].中国组织工程研究,2019,23(4):525-531.[6]Salehghaffari S,Dhaher YY.A Phenomenological Contact Model:Understanding the Graft-Tunnel Interaction in Anterior Cruciate Ligament Ｒeconstructive Surgery[J].J Biomech,2015,48(10):1844-1851.[7]宋关阳.有关膝关节保留残端前交叉韧带重建的相关研究[D].北京:清华大学,2016.[8]胡喜春,黄长明,范华强,等.关节镜下前交叉韧带重建中保留残端对膝关节功能及本体感觉恢复的影响研究[J].现代生物医学进展,2017,17(26):72-75,105.[9]余浩,邓晚秋,桑鹏,等.关节镜下自体同侧腓骨长肌腱重建膝关节前交叉韧带[J].中国修复重建外科杂志,2020,34(7):5.[10]Schelin L,Tengman E,Ryden P,et al.A statistically compiled test battery for feasible evaluation of knee function after rupture of the Anterior Cruciate Ligament derived from long term follow up data[J].PLoS One,2017,12(5):e0176247.[11]潘恒,李公,阎峰.关节镜下前交叉韧带保留残端重建对膝关节功能的影响[J].西北国防医学杂志,2016,37(5):300-302.[12]马燕红,程安龙,江澜,等. 前交叉韧带损伤后膝关节本体感觉的改变[J].中华物理医学与康复杂志,2004,26(4):242-243. [13]罗程,蔡贤华,魏世隽,等.关节镜下保留残端与非保留残端重建前交叉韧带的临床疗效分析[J].创伤外科杂志,2017,19(4):262-265.[14]姚楚亮,陈少文,杨焱鑫,等.关节镜下清除和保留断裂前交叉韧带残端重建术后疗效对比[J].中华全科医学报,2015,13(4):550-552,689.[15]杨勇,徐红革,邱志杰,等.关节镜下保留与清除断裂前交叉韧带残端重建术后疗效比较[J].蚌埠医学院学报,2016,41(8):1017-1020.

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更新日期/Last Update: 1900-01-01