前交叉韧带损伤患者采用关节镜下保留残端重建术治疗的效果  

Effect of Arthroscopic Residual Preserving Reconstruction in Patients with Anterior Cruciate Ligament Injury

作　　者：邹贵民 ZOU Guimin(Hezhou Hospital of Traditional Chinese Medicine,Hezhou 542899,China)

机构地区：[1]贺州市中医医院,广西贺州542899

出　　处：《中外医学研究》2024年第17期137-140,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析前交叉韧带(ACL)损伤采用关节镜下保留残端重建术治疗的效果。方法:选择2022年1—12月贺州中医医院收治的70例ACL损伤患者作为研究对象,随机将其均分为两组,各35例。对照组选取关节镜下不保留残端重建术治疗,观察组选取关节镜下保留残端重建术治疗。分析比较两组膝关节功能评分、被动角度再生试验结果、被动活动觉察阈值及并发症发生情况。结果:治疗前,两组Lysholm评分、国际膝关节文献委员会主观膝关节形态(IKDC)评分、被动角度再生试验、被动活动觉察阈值比较,差异无统计学意义(P>0.05);治疗后,观察组Lysholm评分高于对照组,IKDC评分、被动角度再生试验、被动活动觉察阈值低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:关节镜下保留残端重建术可促进ACL损伤患者膝关节血管、神经功能的重建,改善患者膝关节功能、被动活动情况,可有效减少并发症的发生。Objective:To analyze the effect of arthroscopic residual preserving reconstruction of anterior cruciate ligament(ACL)injury.Method:A total of 70 patients with ACL injury admitted to Hezhou Hospital of Traditional Chinese Medicine from January to December 2022 were selected as the study objects and randomly divided into two groups,with 35 cases in each group.The control group underwent arthroscopic residual not preserving reconstruction,and the observation group underwent arthroscopic residual preserving reconstruction.The knee function score,the results of passive angle regeneration test,the passive activity detection threshold and the incidence of complications were analyzed and compared between the two groups.Result:Before treatment,there was no significant difference in Lysholm score,International Knee Documentation Committee subjective knee form(IKDC)score,passive angle regeneration test and passive activity detection threshold between the two groups(P>0.05).After treatment,Lysholm score in the observation group was higher than that in the control group,IKDC score,passive angle regeneration test and passive activity detection threshold were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Arthroscopic residual preserving reconstruction can promote the reconstruction of blood vessel and nerve function of knee joint in patients with ACL injury,improve the function and passive activity of knee joint,and effectively reduce the occurrence of complications.

关 键 词：前交叉韧带损伤 关节镜 保留残端重建术 膝关节功能 

分 类 号：R687.4[医药卫生—骨科学]