关节镜下膝关节前交叉韧带重建的远期临床效果及常见影响因素  

Long-term clinical effects and common influencing factors of knee anterior cruciate ligament reconstruction under arthroscopy

作　　者：梁宇斌 肖俊枫[1] 蔡立泉 LIANG Yubin;XIAO Junfeng;CAI Liquan(Department of Orthopedics,Central People's Hospital of Zhanjiang,Guangdong,Zhanjiang 524000,China)

机构地区：[1]广东省湛江中心人民医院骨科,广东湛江524000

出　　处：《中国医药科学》2021年第14期205-208,230,共5页China Medicine And Pharmacy

摘　　要：目的分析关节镜下膝关节前交叉韧带(ACL)重建的远期临床效果及常见影响因素。方法选取湛江中心人民医院2018年1月至2019年1月收治的48例膝关节ACL损伤患者,以双盲随机抽样法分组,每组各24例,对照组采纳Endobutton悬吊固定术治疗,观察组采纳关节镜下膝关节前交叉韧带重建术治疗,比较两组临床总有效率、膝关节评分(Lysholm)评分、视觉模拟自评量表(VAS)评分、并发症发生率。对所有研究对象均随访1年,logistic分析膝关节ACL患者关节镜下膝关节前交叉韧带重建术远期临床效果的影响因素。结果观察组临床总有效率(91.67%)高于对照组(66.67%),观察组治疗后1个月Lysholm评分高于对照组,VAS评分低于对照组,观察组并发症总发生率(4.17%)低于对照组(29.17%),差异均有统计学意义(P<0.05)。移植物张力、髁间窝撞击、康复训练、骨髓道位置是影响关节镜下膝关节ACL重建术远期疗效的危险因素(P<0.05)。结论关节镜下膝关节ACL重建可有效改善膝关节ACL患者膝关节功能,缓解疼痛感,降低并发症发生率,效果显著,但远期临床疗效容易受到移植物张力、髁间窝撞击、康复训练、骨髓道位置等因素的影响,应当引起临床重视,及早予以针对性治疗,提高远期疗效。Objective To analyze the long-term clinical effects and common influencing factors of knee anterior cruciate ligament reconstruction under arthroscopy.Methods A total of 48 patients with knee anterior cruciate ligament injury(ACL)admitted to Central People's Hospital of Zhanjiang from January 2018 to January 2019 were selected and grouped by double-blind random sampling,24 cases in each group.The control group was treated with Endobutton suspension fixation,and the observation group was treated with knee anterior cruciate ligament reconstruction under arthroscopy.The clinical total response rate,knee joint score(Lysholm)score,visual analog self-rating scale(VAS)score,and the incidence of complications were compared between the two groups.All subjects were followed up for 1 year.Logistic was used to analyze the affecting factors of the long-term clinical effect of knee anterior cruciate ligament reconstruction under arthroscopy in patients with knee ACL.Results The total clinical response rate of the observation group(91.67%)was higher than that of the control group(66.67%).One month after treatment,the Lysholm score of the observation group was higher than that of the control group,and the VAS score was lower than that of the control group.The total incidence of complications in the observation group(4.17%)was lower than that of the control group(29.17%),and the differences were statistically significant(P<0.05).Risk factors that affect the long-term efficacy of knee anterior cruciate ligament reconstruction under arthroscopy included graft tension,intercondylar fossa impact,rehabilitation training,and position of bone marrow tract(P<0.05).Conclusion Knee anterior cruciate ligament reconstruction under arthroscopy can effectively improve the knee function of patients with knee ACL,relieve pain,and reduce the incidence of complications,and has significant effects.However,the long-term clinical effect is easily affected by factors such as graft tension,intercondylar fossa impact,rehabilitation training,and position

关 键 词：膝关节前交叉韧带损伤 关节镜 膝关节前交叉韧带重建 远期疗效 影响因素 

分 类 号：R687.4[医药卫生—骨科学]