保留与非保留残端前交叉韧带重建的疗效比较  

Efficacy Comparison of Retaining Ligament Stump and Non-reserving Stump on Anterior Cruciate Ligament Reconstruction

作　　者：赫晓康 姜飞[1] 刘波 伊尔凡江·吐尔逊 HE Xiao-kang;JIANG Fei;LIU Bo;Yierfanjiang·Tuerxun(The Second Department of Orthopedics,the First People's Hospital of Aksu Prefecture,Aksu 843000,Xinjiang,China)

机构地区：[1]阿克苏地区第一人民医院骨二科,新疆阿克苏843000

出　　处：《医学信息》2022年第3期121-123,共3页Journal of Medical Information

摘　　要：目的观察保留与非保留残端前交叉韧带重建的临床疗效。方法选取2019年6月-2020年6月在我院进行关节镜下前交叉韧带重建的50例患者为研究对象,采用随机数字表法分为对照组和观察组,各25例。对照组实施非保留残端前交叉韧带重建,观察组实施保留残端前交叉韧带重建,比较两组Lysholm膝关节功能评分、KT-2000前移距离、被动活动察觉阈值、被动角度以及两组临床不良反应发生情况。结果术后3、6个月两组Lysholm膝关节功能评分均高于术前,且观察组术后3个月Lysholm膝关节功能评分高于对照组,差异有统计学意义(P<0.05);两组术后6个月Lysholm膝关节功能评分比较,差异无统计学意义(P>0.05);术后6个月,两组KT-2000前移距离、被动活动察觉阈值、被动角度均低于术前,且观察组KT-2000前移距离、被动活动察觉阈值、被动角度低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为8.00%,与对照组的12.00%比较,差异无统计学意义(P>0.05)。结论非保留残端与保留残端前交叉韧带重建术均可获得良好的治疗效果,但保留残端可快速恢复膝关节功能、本体感觉,且不良反应少,具有良好的应用有效性和安全性。Objective To observe the clinical effect of retaining ligament stump and non-reserving stump on anterior cruciate ligament reconstruction.Methods A total of 50 patients who underwent arthroscopic anterior cruciate ligament reconstruction in our hospital from June 2019 to June 2020 were selected as the research objects.They were divided into control group and observation group by random number table method,with 25 cases in each group.The control group was treated with non-reserving stump on anterior cruciate ligament reconstruction,and the observation group was treated with retaining ligament stump on anterior cruciate ligament reconstruction.The Lysholm knee function score,KT-2000 forward distance,passive activity detection threshold,passive angle and clinical adverse reactions of the two groups were compared.Results The Lysholm knee function scores of the two groups at 3 and 6 months after operation were higher than those before operation,and the Lysholm knee function score of the observation group at 3 months after operation was higher than that of the control group,the difference was statistically significant(P<0.05);there was no significant difference in Lysholm knee function score between the two groups at 6 months after operation(P>0.05).The KT-2000 forward distance,passive activity perception threshold and passive angle of the two groups at 6 months after operation were lower than those before operation,and the KT-2000 forward distance,passive activity perception threshold and passive angle of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 8.00%,which was compared with 12.00%in the control group,the difference was not statistically significant(P>0.05).Conclusion Retaining ligament stump and non-reserving stump on anterior cruciate ligament reconstruction can both obtain good results,but retaining ligament stump can quickly restore knee joint function and proprioception,with

关 键 词：保留残端 前交叉韧带 关节镜 膝关节功能 

分 类 号：R678.4[医药卫生—外科学]