前交叉韧带损伤临床诊疗循证指南(2022版)  

Clinical evidence-based guideline for the diagnosis and treatment of anterior cruciate ligament injury (2022 version)

作　　者：白伦浩[1] 陈疾忤 陈坚[3] 陈东阳[4] 戴雪松[5] 关振鹏 何盛为[7] 蒋佳[8] 蒋青[4] 兰海[9] 李庭[10] 刘宁[11] 陆伟[12] 乔义 孙鲁宁[13] 王卫国[14] 王卫明 徐斌[16] 徐洪港[16] 徐永胜 肖文峰[18] 杨梁[7] 游洪波 余家阔[20] 于腾波[21] 张新涛[22] 张辉[10] 赵松[8] 朱威宏[23] 赵金忠[8] Bai Lunhao;Chen Jiwu;Chen Jian;Chen Dongyang;Dai Xuesong;Guan Zhenpeng;He Shengwei;Jiang Jia;Jiang Qing;Lan Hai;Li Ting;Liu Ning;Lu Wei;Qiao Yi;Sun Luning;Wang Weiguo;Wang Weiming;Xu Bin;Xu Honggang;Xu Yongsheng;Xiao Wenfeng;Yang Liang;You Hongbo;Yu Jiakuo;Yu Tengbo;Zhang Xintao;Zhang Hui;Zhao Song;Zhu Weihong;Zhao Jinzhong(Shengjing Hospital of China Medical University,Shenyang 110004,China;First People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 201620,China;Peking University People′s Hospital,Beijing 100044,China;Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China;Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310052,China;Peking University Shougang Hospital,Beijing 100144,China;Second Hospital of Dalian Medical University,Dalian 116023,China;Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China;Affiliated Hospital of Chengdu University,Chengdu 610081,China;Beijing Jishuitan Hospital,Beijing 100035,China;Zhengzhou Orthopaedics Hospital,Zhengzhou 450015,China;Second People′s Hospital of Shenzhen,Shenzhen 518025,China;Jiangsu Province Hospital of Chinese Medicine,Nanjing 210004,China;China-Japan Friendship Hospital,Beijing 100029,China;Xinhua Hospital Affiliated to Dalian University,Dalian 116021,China;First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Inner Mongolia People′s Hospital,Huhhot 010017,China;Xiangya Hospital of Central South University,Changsha 410008,China;Tongji Hospital of Tongji Medical College of Huazhong University of Science&Technology,Wuhan 430030,China;Peking University Third Hospital,Beijing 100191,China;Affiliated Hospital of Qingdao University,Qingdao 266000,China;Peking University Shenzhen Hospital,Shenzhen 518036,China;Second Xiangya Hospital of Central South University,Changsha 410007,China)

机构地区：[1]中国医科大学附属盛京医院,沈阳110004 [2]上海交通大学附属第一人民医院,上海201620 [3]北京大学人民医院,北京100044 [4]南京大学医学院附属鼓楼医院,南京210008 [5]浙江大学医学院附属第二医院,杭州310052 [6]北京大学首钢医院,北京100144 [7]大连医科大学附属第二医院,大连116023 [8]上海交通大学附属第六人民医院,上海200233 [9]成都大学附属医院,成都610081 [10]北京积水潭医院,北京100035 [11]郑州市骨科医院,郑州450015 [12]深圳市第二人民医院,深圳518025 [13]江苏省中医院,南京210004 [14]中日友好医院,北京100029 [15]大连大学附属新华医院,大连116021 [16]安徽医科大学第一附属医院,合肥230022 [17]内蒙古自治区人民医院,呼和浩特010017 [18]中南大学湘雅医院,长沙410008 [19]华中科技大学同济医学院附属同济医院,武汉430030 [20]北京大学第三医院,北京100191 [21]青岛大学附属医院,青岛266000 [22]北京大学深圳医院,深圳518036 [23]中南大学湘雅二医院,长沙410007

出　　处：《中华创伤杂志》2022年第6期492-503,共12页Chinese Journal of Trauma

摘　　要：前交叉韧带(ACL)损伤是一种常见的运动损伤,对膝关节功能有严重影响,限制患者的活动能力。随着我国全民健身运动的普及,ACL损伤发生率正逐年增加。对于ACL损伤,如何选择合适的治疗方法、手术方案与康复计划,目前缺乏相关的临床规范或指南。为了及时反映ACL损伤的诊疗新理念,规范其诊治并提高疗效,中国研究型医院学会运动医学专业委员会与《中华创伤杂志》编辑委员会组织国内骨科与运动医学专家,遵循科学性、实用性和先进性的原则,基于循证医学证据等级,制订了《前交叉韧带损伤临床诊疗循证指南》(2022版),针对ACL损伤的诊疗与康复提出12条推荐建议,为提高ACL损伤的临床诊疗效果提供指导和帮助。The anterior cruciate ligament(ACL)injury is a common sports injury that has a significant impact on knee function and patients′mobility.With the popularity of national fitness campaign in China,the incidence of ACL injury is increasing year by year.Currently,there still lacks clinical standards or guidelines on how to choose appropriate treatment methods,surgical plans and rehabilitation protocols for ACL injury.In order to timely reflect the new treatment concept of ACL injury,standardize its diagnosis and treatment and improve the curative effect,the Sports Medicine Society of Chinese Research Hospital Association and the Editorial Board of Chinese Journal of Trauma organized domestic orthopedic and sports medicine experts to formulate the"clinical evidence-based guideline for the diagnosis and treatment of anterior cruciate ligament injury(2022 version)"based on the level of evidence-based medicine and in compliance with the principle of scientificity,practicability and advancement.The present guideline includes 12 recommendations for the diagnosis,treatment and rehabilitation of ACL injury in order to provide guidance and assistance for the clinical diagnosis and treatment of ACL injury in China.

关 键 词：前交叉韧带损伤 膝关节 运动损伤 实践指南 

分 类 号：R684[医药卫生—骨科学]