关节镜下膝关节前交叉韧带损伤重建术治疗的临床研究

Clinical study of arthroscopicanterior cruciate ligament reconstruction

目的探讨在关节镜下膝关节前交叉韧带损伤重建术治疗的临床效果。方法选取2018年3月-2020年3月之间我院接受住院治疗的80名膝关节前交叉韧带损伤患者作为研究对象。根据手术方式的不同,常规手术进行交叉韧带损伤的重建术治疗为常规组,关节镜下膝关节前交叉韧带损伤重建术治疗为研究组,每组各40名患者,比对两组的治疗效果。结果通过数据得出常规组的膝功能评分(71.8±12.6)及膝功能不稳评分(13.2±1.6)要低于研究组膝功能评分(83.9±12.9)及膝功能不稳评分(19.3±2.3),差异有统计学意义(P<0.05)。在术后疼痛评分上研究组(3.35±0.23)各项数据均优于常规组(4.35±1.69),差异有统计学意义(P<0.05)。研究组并发症发生率仅为5%,常规组并发症发生率有17.5%,研究组数据远要低于常规组,差异有统计学意义(χ^(2)=5.178,P=0.023)。结论在膝关节镜下前交叉韧带损伤重建术治疗可有效改善膝关节活动性、稳定性、有效减轻患者的疼痛感,减少并发症的发生,促进膝关节功能的康复。关节镜下进行膝关节前交叉韧带损伤重建术治疗具有临床推广和采纳的价值。

Objective To investigate the clinical effect of arthroscopic anterior cruciate ligament(ACL)reconstruction.Methods 80 patients with ACL injury in our hospital from March 2018 to March 2020 were selected as the research objects.According to the different surgical methods,patients underwent the traditional open surgery for cruciate ligament injury reconstruction treatment were selected as the control group,patients underwent arthroscopic anterior cruciate ligament injury reconstruction treatment were as the study group,40 patients in each group,the treatment effect of the two groups were compared.Results The Lysholm score(71.8±12.6)and and Lysholm instability score(13.2±1.6)of the control group were lower than those of the study group(83.9±12.9 and 19.3±2.3),the differences were statistically significant(P<0.05).In the postoperative pain score,the study group(3.35±0.23)data was better than the control group(4.35±1.69),the difference was statistically significant(P<0.05).The incidence of complications in the study group was only 2.5%,and that in the control group was 17.5%,which was significantly lower than the control group,and the difference was statistically significant(χ^(2)=5.178,P=0.023).Conclusion Arthroscopic anterior cruciate ligament reconstruction can effectively improve the activity and stability of knee joint,effectively reduce the pain of patients,reduce the occurrence of complications,and promote the rehabilitation of knee joint function.Arthroscopic anterior cruciate ligament reconstruction has the value of clinical promotion and adoption.