自体肌腱与同种异体肌腱重建前交叉韧带早期对比研究

Early postoperation research of autograft tendon versus allograft tendon in anterior cruciate ligament reconstruction

目的：比较自体肌腱与同种异体肌腱重建前交叉韧带术后早期疗效差异。方法自2011年10月~2012年10月行前交叉韧带重建患者163例。根据采用移植物的不同将患者分为自体组85例,异体组78例。术后随访1个月,比较两组患者的手术时间、引流量、发热天数、术后第7天患肢肿胀程度、患肢肌力恢复程度、术后第3天及第7天CRP值。结果异体组的手术时间（39.2±1.3）min显著低于自体组（52.6±1.7）min,术后异体组引流量（106.7±2.6）ml与自体组（102.6±4.3）ml无明显差异,异体组发热天数（4.6±0.5）d显著长于自体组（1.3±0.2）d,异体组术后患肢早期肌力恢复程度显著高于自体组,异体组的患肢肿胀程度显著低于异体组,异体组术后第3天CRP值（32.9±1.2）mg/L与自体组（31.5±0.8） mg/L无显著差异,异体组术后第7天CRP值（91.7±9.6）mg/L显著高于自体组（12.8±6.1）mg/L。结论异体组术后早期临床疗效优于自体组。

Objective To campare the early clinical efficacy of autograft and allograft tendon in anterior cruciate ligament reconstruction. Methods From October 2011 to October 2012, 163 patients of injured Anterior Cruciate Ligament were reconstructed. According to different graft was used in anterior cruciate ligament reconstruction, they were divided into two groups. 85 cases of patients were reconstructed by autograft is Group A, 78 cases of patients were reconstructed by allograft is Group B.After 1 month follow up, to compare the operation time, the drainage amount, postoperative fever days, the degree of limb myodynamia recovery, the seventh day of postoperative limb swelling degree, the CRP value about the third and seventh day of postoperative. Results