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  

Effect of remnant preservation and remove in anterior cruciate ligament reconstruction under arthroscopy

作　　者：杨勇[1] 徐红革[1] 邱志杰[1] 王良恩[1] 杨彬[1] YANG Yong XU Hong-ge QIU Zhi-jie WANG Liang-en YANG Bin(Department of Orthopedics, The People＇s Hospital of Meishan, Meishan Sichnan 620010, China)

机构地区：[1]四川省眉山市人民医院骨科,620010

出　　处：《蚌埠医学院学报》2016年第8期1017-1020,共4页Journal of Bengbu Medical College

摘　　要：目的：对比关节镜下保留与清除断裂前交叉韧带（ACL）残端重建术后临床疗效。方法：回顾性分析70例获得12个月以上随访的ACL断裂患者临床资料,其中对照组35例采用传统清除残端重建ACL,观察组35例采用保留残端重建ACL,比较2组患者术后关节稳定性、关节功能及本体感觉恢复情况。结果：所有患者均获得随访,随访时间为12-27个月。2组患者术后关节稳定性差异无统计学意义（P〉0.05）;末次随访时观察组患者术后关节功能均优于对照组（P〈0.01）;观察组患者术后本体感觉优于对照组（P〈0.01）。结论：关节镜下保留与清除残端重建ACL均能取得较好的临床疗效,恢复关节稳定性;但保留残端手术更有利于术后膝关节功能及本体感觉的恢复。Objective： To compare the clinical effects of remnant preservation and remnant remove in anterior cruciate ligament（ ACL）reconstruction under arthroscopy. Methods： The clinical data of 70 ACL rupture patients followed by 12 months were retrospectively analyzed. The observation group（ 35 cases） and control group（ 35 cases） were treated with ACL reconstruction through remnant preservation and remove,respectively. The joint stability,joint function and proprioception recovery between two groups were analyzed.Results： All patients were followed up for 12 to 27 months. The difference of joint stability between two groups was not statistically significant（ P〉0. 05）. At the end of following up,the joint function in observation group was better than that in control group（ P〈0. 01）. The proprioception in observation group was better than that in control group（ P〈0. 01）. Conclusions： The effects of remnant preservation and remove in the anterior cruciate ligament reconstruction under arthroscopy are good,and which can recover the joint stability. The remnant preservation method can more conducive to the recovery of knee joint function and proprioception.

关 键 词：前交叉韧带重建 关节镜 保留残端 

分 类 号：R687.4[医药卫生—骨科学]