膝关节镜下行膝关节交叉韧带重建修复的临床效果观察

Clinical Effect Observation of the Prosthesis Knee Cruciate Ligament Reconstruction under Knee Arthroscopic

目的:分析探讨膝关节镜下行膝关节交叉韧带重建修复的临床效果,对同种异体肌腱重建和自体胭绳肌腱重建的临床特点进行总结。方法:选取2013年4月-2014年5月本院收治98例交叉韧带损伤患者作为研究对象,随机将其分成试验组和对照组,每组各49例,对照组患者在膝关节镜下采取同种异体肌腱重建术进行临床治疗,试验组在膝关节镜下采取自体胭绳肌腱重建术进行临床治疗,治疗结束后,对比分析两组患者的治疗效果和不良反应率。结果:试验组与对照组的Lysholm评分、大腿周径比值、跳跃指数等临床指标比较差异无统计学意义(P>0.05);试验组治疗后的不良反应率低于对照组,差异具有统计学意义(P<0.05)。结论:膝关节镜下行同种异体肌腱重建术和自体胭绳肌腱重建术修复交叉韧带均具有显著的临床效果,但自体胭绳肌腱重建术的不良反应率低于同种异体肌腱重建术,具有较高的安全性,其临床价值更胜一筹,故可以大力推广和借鉴该模式。

Objective： To explore the clinical effect of knee arthroscopic knee cruciate ligament reconstruction, to summarize clinical features of reconstruction with allograft tendon reconstruction and autologous hamstring tendons.Method： 98 patients of eruciate ligament injury were chosen as the research object from April 2013 to May 2014 in our hospital, and randomly divided into the experimental group and the control group, 49 patients in each group, the patients in the control group were taken in arthroseopie allogenic tendon reconstruction for clinical treatment, the patients in the experimental group were taken in arthroscopic auto]ogous hamstring tendons reconstruction for clinics.] treatment after the end of treatment, the therapeutic effect and adverse reaction rate of two groups were compared.Result： The experimental group had no significant difference with the control group of patients with Lysholm score, thigh circumference ratio, jump index and other clinical indexes, the difference was not statistically significant （ P〉0.05 ） ; the adverse reactions of patients in the experimental group after treatment was lower than that in the control group patients, the difference had statistical significance （P〈0.05） .Conclusion： Knee arthroscopic allogenic tendon reconstruction and autologous hamstring tendon reconstruction of crueiate ligament has significant clinical effect, and the two methods of reconstruction treatment effect have no obvious difference, but the adverse reaction of auto]ogous hamstring tendon reconstruction of lower rate of allograft tendon reconstruction, having more security, its clinical value is better, so it can be popularized energetically and draw lessons from the mode.