后交叉韧带撕裂的典型临床特征分析及关节镜手术与保守治疗的疗效比较

Analysis of the typical clinical features of posterior cruciate ligament rupture and comparison of arthroscopic surgery and conservative treatment

目的观察后交叉韧带撕裂的典型临床特征,并分析关节镜手术与保守治疗的疗效比较。方法该研究收集后交叉韧带撕裂的患者128例进行研究,其中接受关节镜手术治疗的患者共63例,保守治疗组患者65例,两组患者进行膝关节损伤及功能评价的相关临床检查,包括胫骨移位水平以及两种评分体系评分等,统计分析使用SPSS 17.0统计软件包。结果两组患者接受手术治疗后随访24个月,后抽屉试验(PDT)结果显示,关节镜手术组PDT评分总体情况优于保守治疗组,根据Lysholm和Tegner两种评分标准进行疗效评价,术后关节镜手术组Lysholm评分明显高于保守治疗组得分,关节镜组Tegner评分与保守治疗组差异无统计学意义(P>0.05)。结论关节镜下手术治疗后交叉韧撕裂损伤的疗效较保守治疗更优,特别是表现在治疗后关节稳定性等方面。

Objective To observe the clinical features of posterior cruciate ligament rupture and compare the effcacy of arthroscopic surgery and conservative treatment. Methods 128 patients, including 63 patients treated by arthroscopic surgery and 65 patients treated by conservative operation were included in the study. Statistical analysis was performed using SPSS 17.0 statistical software package. Results In the present study, after 24 month follow up, the PDT grade in the arthroscopic surgery group was better than that in conservative treatment group. The Lysol score in the arthroscopic surgery group was signifcantly higher that observed in the conservative treatment group （P 〈 0.05）. There was no signifcantly difference for the Tiger score between the arthroscopic surgery group and conservative treatment group. Conclusion Arthroscopic treatment of posterior curiae ligament rupture is more effective than conservative treatment, especially in the treatment of joint stability and so on.