单束与双束自体肌腱移植物重建前交叉韧带的对比  

Comparison of single-bundle and double-bundle autografts in anterior cruciate ligament reconstruction

作　　者：谭捷[1] 冯小兵[1] 屈建华[1] 吴常杰[1] 赵新动 李英祥[1] 闫帮楷[1] 

机构地区：[1]新疆生产建设兵团第六师奇台医院骨科,新疆维吾尔自治区奇台县831800

出　　处：《中国组织工程研究》2014年第42期6817-6821,共5页Chinese Journal of Tissue Engineering Research

基　　金：新疆兵团第六师科技攻关课题~~

摘　　要：背景:自体肌腱的编织方法不同治疗前交叉韧带断裂疗效有所差异,其首选治疗方法还存在着一定的争议。目的:对比分析单束与双束自体肌腱移植物重建前交叉韧带的临床疗效。方法:回顾性分析48例前交叉韧带断裂的病例资料,根据移植物束的构成方式将其分为2组:双束组24例,单束组24例。所有患者均在关节镜下用自体肌腱重建前交叉韧带,每位患者治疗后至少随访6个月,采用IKDC评分和Lysholm评分等对膝关节综合评定。结果与结论:治疗后48例患者均无关节内感染、关节内积液及切口红肿等并发症。1年随访IKDC评分和Lysholm评分显示双束组均优于单束组,但差异无显著性意义(P>0.05)。结果表明关节镜下行单束和双束自体肌腱移植重建前交叉韧带均可获得良好的疗效,相比之下双束重建前交叉韧带的疗效更佳。BACKGROUND：Different weaving methods of autologous tendon lead to various treatment efficacies on cruciate ligament rupture, but the preferred method is stil controversial. OBJECTIVE：To comparatively analyze the clinical efficacy of single-bundle and double-bundle autografts on anterior cruciate ligament reconstruction. METHODS：A retrospective analysis of 48 cases of anterior cruciate ligament rupture was performed. According to the composition of graft beam, these 48 patients were divided into two groups：double-bundle group （n=24） and single-bundle group （n=24）. Al surgical patients underwent autologous anterior cruciate ligament reconstruction by arthroscopy, and were fol owed up for at least 6 months. The function of knee joint after operation was comprehensively analyzed through IKDC and Lysholm scores. RESULTS AND CONCLUSION：Al of the patients （n=48） exhibited no joint complications postoperatively, such as intra-articular infection, joint effusion and incision inflammation. The IKDC scores and Lysholm scores in the double-bundle group were better than those in the single-bundle group, but there was no statistical y significant difference （P〉0.05）. This study demonstrated that single-bundle and double-bundle autografts both have good curative effects on anterior cruciate ligament reconstruction by arthroscopy. But in contrast, the curative effects of double-bundle autografts are better.

关 键 词：组织构建 组织工程 肌腱 自体肌腱移植 前交叉韧带 对比研究 

分 类 号：R318[医药卫生—生物医学工程]