摘要
为总结分析前交叉韧带Ａｎｔｅｒｉｏｒｃｒｕｃｉａｔｅｌｉｇａｍｅｎｔ，ＡＣＬ损伤的临床流行病学特点，进而指导临床，做好有关预防、诊断、治疗、康复工作，我们回顾性研究了１９９２年１月～２０００年１２月在我科住院手术治疗的ＡＣＬ断裂患者共４３７例，其中运动员１７５例男７２例，女１０３例，非运动员２６２例男１７５例，女８７例。对损伤发生率、好发项目、男女性别特点、运动员与非运动员间特点、损伤原因及机制、膝关节不稳发生时间与临床的关系等进行统计分析。结果表明：女运动员ＡＣＬ损伤发生率５８９％高于男性４１１％，尤其在柔道、摔跤项目中更为明显Ｐ＜００１；在跳箱、跨栏项目中，在校女生ＡＣＬ损伤发生率较高Ｐ＜００１；运动员与非运动员的非接触性ＡＣＬ损伤中女性多于男性Ｐ＜００５。致伤因素运动员以技术失误为主，非运动员以误伤为主。伤后出现膝关节不稳临床症状的时间为２～３个月。为减轻及防止继发损害，恢复膝关节稳定性，ＡＣＬ重建术应在伤后３个月内进行。
Objective:The purpose of this study was to analyze the epidemiological characteristics of anterior cruciate ligament (ACL) injury in order to improve clinical practice. Methods: Four hundred and thirty seven cases with ACL rupture treated in our institute within 9-years period from 1992 to 2000 were studied retrospectively, including 175 athletes (72 males, 103 females) and 262 non-athletes (175 males, 87 females). Results The ACL injured incidence in female athletes (58.9%) was significantly higher than male (41.1%), especially in judo, and wrestling (P<0.Ol). The incidence of ACL injury in college and middle school students were significantly higher in the event of jumping box and clearance hurdle than in other sports events (P<0.01). The incidence of ACL injury was significantly higher in women s non-contact injury(P<O.05). Etiologically, athletic ACL injury was mainly caused by technical faults and non-athletic ACL injury by accident. Knee instability appeared within 2 and 3 months after ACL rupture. We recommend that ACL reconstruction should be performed within 3 months after rupture for restoring the knee stability and preventing from the secondary injuries.
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2001年第4期380-381,共2页
Chinese Journal of Sports Medicine
