关节镜下胫骨嵌入术治疗膝关节后交叉韧带损伤的临床效果及安全性分析  

Analysis of the Clinical Efficacy and Safety of Knee Cross Eembedded Technology in the treatment of Patients with Arthroscopic Tibial Ligament Injury

作　　者：郝建学[1] 王明昊[1] 任康[1] 秦洪[1] 邸丽萍[1] 刘锁利[1] 李雪波[1] 张云[2] 

机构地区：[1]河北省保定市第一医院骨科,河北保定071000 [2]河北大学附属医院骨科,河北保定071000

出　　处：《现代生物医学进展》2015年第35期6922-6924,6878,共4页Progress in Modern Biomedicine

基　　金：河北省自然科学基金项目(C2009001072)

摘　　要：目的:探讨关节镜下胫骨嵌入术治疗膝关节后交叉韧带损伤患者的临床疗效及安全性。方法:回顾性分析2013年2月至2014年2月在我院接受关节镜下胫骨嵌入术治疗的膝关节膝关节后交叉韧带损伤患者36例的临床资料,比较手术前后Lysholm膝关节评分、KT-2000关节测量值、后抽屉试验与Lachman征的差异。结果:与手术前比较,手术后6个月患膝Lysholm膝关节评分、KT-2000关节测量值及物理检查(后抽屉试验试验与Lachman征)均明显改善,差异具有统计学意义(P<0.05)。全部患者术后无韧带断裂、免疫排斥反应等现象。结论:关节镜下胫骨Inlay技术对膝关节PCL损伤患者的临床疗效显著,安全性高,值得临床推广应用。Objective： To investigate the clinical efficacy and safety of arthroscopic tibial technology in the treatment of posterior cruciate ligament injury of the knee joint. Methods： A retrospective analysis about the clinical data of 36 patients who were treated with the embedded arthroscopic treatment oftibial knee ligament injury were conducted and the Lysholm knee score, the difference KT-2000 joint measurements, posterior drawer test and Lachman sign were analyzed before and after surgery. Results： Compared with before surgery, the knee Lysholm knee score, KT-2000 score and physical examination （after the drawer test and Lachman sign） were significantly improved after surgery for 6 months, and the differences were statistically significant （P〈0.05）. All patients had no ligament rupture and immune rejection reactions. Conclusions： The clinical efficacy of Inlay technology in the treatment of knee joint injury with PCL is remarkable and safe, which is worthy of clinical application.

关 键 词：关节镜 胫骨嵌入 膝关节 后交叉韧带损伤 

分 类 号：R686[医药卫生—骨科学]