前交叉韧带重建治疗前交叉韧带黏液样变性合并囊肿1例并文献复习  

Anterior cruciate ligament reconstruction in the treatment of anterior cruciate ligament mucoid degeneration with cyst in 1 case and literature review

作　　者：王英彪 郑伟杰[1] 曾展鹏[1] 许伟国[1] WANG Yingbiao;ZHENG Weijie;ZENG Zhanpeng;XU Weiguo(Panyu Hospital of Traditional Chinese Medicine,Guangzhou 511400,China)

机构地区：[1]广州市番禺区中医院,广东广州511400

出　　处：《临床医学研究与实践》2023年第19期20-23,共4页Clinical Research and Practice

基　　金：广州市番禺区科技计划医疗卫生项目(No.2021-Z04-039)。

摘　　要：目的探讨前交叉韧带(ACL)黏液样变性以及ACL囊肿的发病机制、临床表现以及治疗方式。方法回顾性分析1例ACL黏液样变性合并ACL囊肿患者的临床资料,采用病变组织清理及自体肌腱ACL重建的方式进行治疗。同时,对ACL黏液样变性、ACL囊肿进行文献复习。结果术后随访16个月,患者膝关节未再出现疼痛及屈伸活动受限,上下楼梯及慢跑活动均恢复到伤前水平。末次体查示左膝关节无肿胀,术口愈合良好,无明显压痛,左膝关节活动度0°~120°,末次Lysholm膝关节评分95分。结论ACL黏液样变性合并ACL囊肿是临床罕见疾病,两者有相似的发病机制和临床症状,关节镜手术是其主要的治疗方式。对于年轻及有运动需求的患者,对病变组织充分清理后行自体肌腱ACL重建是一种良好的选择。Objective To investigate the pathogenesis,clinical manifestations and treatment methods of anterior cruciate ligament(ACL)mucoid degeneration and ACL cyst.Methods The clinical data of one patient with ACL mucoid degeneration complicated with ACL cyst were retrospectively analyzed.The patient was treated with lesion tissue cleaning and ACL reconstruction with autologous tendon.At the same time,the literature of ACL mucoid degeneration and ACL cyst was reviewed.Results After 16 months of follow-up,there was no pain and limitation of flexion and extension of the knee joint,and the up and down stairs and jogging activities returned to the pre-injury level.The last physical examination showed that there was no swelling of the left knee joint,the incision healed well,no obvious tenderness,the range of motion of the left knee joint was 0°-120°,and the last Lysholm knee joint score was 95 points.Conclusion ACL mucoid degeneration combined with ACL cyst is a rare clinical disease.Both have similar pathogenesis and clinical symptoms.Arthroscopic surgery is the main treatment.For young patients with sports needs,ACL reconstruction with autologous tendon after full cleaning of the lesion is a good choice.

关 键 词：前交叉韧带 黏液样变性 囊肿 自体肌腱重建 

分 类 号：R68[医药卫生—骨科学]