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对比观察保留与非保留残端前交叉韧带重建的临床疗效与价值 被引量:3

Clinical Effect and Value of Anterior Cruciate Ligament Reconstruction with or without Remnant Preservation
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摘要 目的:研究在针对前交叉韧带损伤患者的重建治疗中保留残端或者不保留残端的临床效果。方法:回顾性分析2015年1月-2017年12月本院前交叉韧带损伤患者130例的临床资料,全部患者均接受前交叉韧带重建,其中60例选择保留残端,视作观察组,另外70例患者选择不保留残端,视作对照组,比较两组重建效果及恢复情况。结果:观察组术后3个月膝关节稳定性、Lysholm、IKDC评分均高于对照组(P<0.05);两组组内术前、术后3个月患侧、健侧被动角度重现误差值比较,差异均有统计学意义(P<0.05),观察组术后6个月患侧和健侧比较差异无统计学意义(P>0.05),对照组术后6个月比较差异有统计学意义(P<0.05),观察组术后3、6个月患侧与对照组比较差异均有统计学意义(P<0.05)。结论:在前交叉韧带重建治疗中保留残端能够加快患者本体感觉与膝关节功能的康复,较不保留残端的手术方法更值得临床推广。 Objective:To study the clinical effect and value of anterior cruciate ligament reconstruction with or without remnant preservation in patients with anterior cruciate ligament injury.Method:The clinical data of 130 patients with anterior cruciate ligament injury treated in our hospital from January 2015 to December 2017 were retrospectively analyzed.All patients received anterior cruciate ligament reconstruction.60 cases chose to retain the remnant,regarded as the observation group.The other 70 patients chose not to retain the remnant as the control group.The reconstruction effect and recovery of two groups were compared.Result:The stability of knee joint,Lysholm,IKDC score in the observation group were higher than those in the control group at 3 months after operation(P〈0.05).The differences of the passive angle recurrence error value of the affected side and the healthy side in two groups were significantly different before and 3 months after operation(P〈0.05).6 months after the operation,there was no significant difference between the affected side and the healthy side in the observation group(P〉0.05),and there was a significant difference in the control groups(P〈0.05),the difference between the observation group and the control group were significant at 3 and 6 months after operation(P〈0.05). Conclusion:Retaining remnant in anterior cruciate ligament reconstruction can accelerate proprioceptive sensation and knee function.Rehabilitation is worth of popularizing more than that of without remnant.
作者 罗奋棋 徐杰 LUO Fenqi;XU Jie(Provincial Clinical College of Fujian Medical University,Fuzhou 350001,China)
出处 《中国医学创新》 CAS 2018年第27期50-53,共4页 Medical Innovation of China
关键词 前交叉韧带 重建 保留 残端 Anterior cruciate ligament Reconstruction Retention Remnant
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