膝关节镜下自体腘绳肌腱重建术治疗前交叉韧带损伤患者的效果  

Effects of autogenous hamstring tendon reconstruction under knee arthroscopy in treatment of patients with anterior cruciate ligament injuries

作　　者：杜云飞 DU Yunfei(The Orthopedics Department of Xinxiang Central Hospital,Xinxiang 453000 Henan,China)

机构地区：[1]新乡市中心医院新乡医学院第四临床学院,河南新乡453000

出　　处：《中国民康医学》2021年第19期51-53,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察膝关节镜下自体腘绳肌腱重建术治疗前交叉韧带(ACL)损伤患者的效果。方法:回顾性分析2017年5月至2019年2月该院收治的108例ACL损伤患者的临床资料,根据治疗方法不同分为观察组和对照组各54例。观察组采用膝关节镜下自体腘绳肌腱重建术治疗,对照组采用膝关节镜下自体骨-髌腱-骨移植重建术治疗,比较两组术中出血量、手术时间、手术前后Lysholm膝关节评分和并发症发生率。结果:观察组术中出血量少于对照组,手术时间短于对照组,差异均有统计学意义(P<0.05);术后3、6个月,观察组Lysholm膝关节评分均高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:膝关节镜下自体腘绳肌腱重建术治疗ACL损伤患者可减少术中出血量,缩短手术时间,提高Lysholm膝关节评分,其效果优于膝关节镜下自体骨-髌腱-骨移植重建术治疗。Objective:To observe effects of autogenous hamstring tendon reconstruction under knee arthroscopy in treatment of patients with anterior cruciate ligament(ACL)injuries.Methods:A retrospective analysis of the clinical data of 108 ACL injury patients admitted to the hospital from May 2017 to February 2019 was performed.According to different treatment methods,they were divided into observation group and control group,each with 54 cases.The observation group was treated with autogenous hamstring tendon reconstruction under knee arthroscopy,while the control group was treated with autogenous bone-patellar tendon-bone graft reconstruction under knee arthroscopy.The intraoperative blood loss,the operation time,the Lysholm knee scores before and after the surgery,and the incidence of complications were compared between the two groups.Results:The intraoperative blood loss of the observation group was less than that of the control group;the operation time was shorter than that of the control group;and the differences were statistically significant(P<0.05).3 and 6 months after the surgery,the Lysholm knee score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Autogenous hamstring tendon reconstruction under knee arthroscopy in the treatment of the patients with ACL injuries can reduce the intraoperative blood loss,shorten the operation time,and improve the Lysholm’s knee score.Moreover,it is superior to autogenous bone-patellar tendon-bone graft reconstruction under knee arthroscopy.

关 键 词：前交叉韧带损伤 膝关节镜 自体 骨-髌腱-骨移植重建术 腘绳肌腱重建术 Lysholm膝关节评分 并发症 

分 类 号：R687.2[医药卫生—骨科学]