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关节镜下膝关节前交叉韧带重建远期疗效及影响因素研究 被引量:6

Long-term Effect of Anterior Cruciate Ligament Reconstruction under Arthroscopy and Its Influencing Factors
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摘要 目的:旨在分析关节镜下膝关节前交叉韧带重建疗效以及其影响因素,为膝关节前交叉韧带重建的康复提供借鉴和指导。方法:选取某院2014年12月30日~2016年12月30日接受关节镜下膝关节前交叉韧带重建术的73名患者作为实验组,随机选取同期具有可比性的75名患者作为对照组。针对73名实验组患者的各项因素进行相关性分析。结果:Lachman实验:关节镜下膝关节前交叉韧带患者阳性率逐年升高(P<0.05),理疗患者阳性率逐年升高(P<0.05);Lysholm评分术后6个月无显著差异(P>0.05);Lysholm评分术后12个月、18个月、24个月差异显著(P<0.05),且关节镜治疗效果好于理疗。对73名患者的相关因素Spearman分析发现:功能恢复与文化程度成正相关,与年龄成负相关,与婚姻状况和性别相关性较小。结论:采用关节镜下治疗膝关节前交叉韧带的手术方式是可行的,长期观察疗效肯定,文化程度、年龄为影响预后的主要因素。 Objective:To analyze the effect of arthroscopic anterior cruciate ligament reconstruction and its influencing factors to provide reference and guidance for the rehabilitation of anterior cruciate ligament reconstruction of the knee.Methods:73 patients with arthroscopic anterior cruciate ligament reconstruction treated in a hospital from December 30 th 2014 to December 30 th 2016 were selected as experimental group,and75 comparable patients were selected as control group.The correlation analysis of the factors of 73 patients in the experimental group was carried out.Results:Lachman experiment showed that the positive rate of anterior cruciate ligament of knee joint was increased year by year under arthroscopy(P<0.05),the positive rate of physiotherapy patients increased year by year(P<0.05).Lysholm score after 6 months:P>0.05,and the Lysholm score after 12 months,18 months,24 months:P<0.05,and the arthroscopic treatment was better than physiotherapy.Spearman analysis of the relevant factors of 73 patients found that functional recovery was positively correlated with cultural degree,negatively correlated with age,less with marital status and gender.Conclusion:Arthroscopic treatment of anterior cruciate ligament(ACL)of knee joint is feasible,and the curative effect of long-term observation is good.The education level and age are the main factors influencing prognosis.
作者 颜林飞
机构地区 阳江市中医医院
出处 《数理医药学杂志》 2018年第3期366-367,共2页 Journal of Mathematical Medicine
关键词 关节镜 膝关节前交叉韧带 重建术 远期疗效 影响因素 arthroscope anterior cruciate ligament of the knee reconstructive surgery long-term effect influence factor
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