不同手术时机行关节镜下前交叉韧带损伤重建的术后效果分析

发布时间：2018-03-12 20:05

本文选题：前交叉韧带　切入点：关节镜　出处：《安徽医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的探讨不同手术时机行关节镜下前交叉韧带损伤重建的术后效果。方法选取2014年1月至2016年1月ACL损伤患者的病例信息,根据患者手术时机分为早期手术组(受伤至手术时间小于2周,n=75)与晚期手术组(受伤至手术时间大于4周,n=40),采用同样的手术方法,随访14周,对比分析患者国际膝关节评分(IKDC)、Lysholm膝关节评分以及Tenger膝关节活动评分,萎缩指数,Lachman及中立位前抽屉试验(ADT)结果以及术后并发症的发生率。结果对患者随访14周,对于Lachman以及ADT两组观察指标,早期手术组与晚期手术组差异均无统计学意义(P0.05)。早期手术IKDC、Lysholm以及Tegner评分均高于晚期手术组,但差异均无统计学意义(P0.05)。早期手术组大腿萎缩指数小于晚期手术组,差异无统计学意义(t=0.766,P=0.466)。早期手术组屈曲受限为(12±3)°,晚期手术组屈曲受限为(11±3)°,差异无统计学意义(t=1.703,P=0.091)。早期手术组伸膝受限为(4±1)°,晚期手术组伸膝受限为(3.5±2)°,差异无统计学意义(t=1.790,P=0.076)。对于合并半月板损伤患者,早期手术组Lysholm高于晚期手术组,差异有统计学意义(t=2.068,P=0.041)。结论对于ACL损伤患者,早期手术与晚期手术患者术后手术效果并无明显差异,但是对于合并半月板损伤的ACL损伤患者,建议早期行ACL重建术并修复半月板损伤,早期手术可以提高膝关节功能。
[Abstract]:Objective to investigate the effect of arthroscopic reconstruction of anterior cruciate ligament (ACL) injury under arthroscopy. Methods data of patients with ACL injury from January 2014 to January 2016 were selected. According to the time of operation, the patients were divided into early operation group (injury to operation time less than 2 weeks) and late operation group (injury to operation time > 4 weeks). The patients were followed up for 14 weeks. The international knee score and Tenger knee joint activity score, the results of atrophy index and neutral anterior drawer test, and the incidence of postoperative complications were compared and analyzed. Results the patients were followed up for 14 weeks. For Lachman and ADT, there was no significant difference between the early operation group and the late operation group (P 0.05). The scores of IKDCV Lysholm and Tegner in the early operation group were higher than those in the late operation group. The thigh atrophy index in early operation group was lower than that in late operation group. There was no significant difference in flexion limitation of early operation group (12 卤3) 掳and late operation group (11 卤3) 掳. There was no significant difference between early operation group and late operation group. The extension limitation of early operation group was 4 卤1 掳, and that of late operation group was 3.5 卤2 掳. For patients with meniscus injury, patients with meniscus injury, The Lysholm in the early operation group was higher than that in the late operation group, and the difference was statistically significant. Conclusion there is no significant difference between the early operation group and the late operation group in the postoperative effect of ACL injury, but for the ACL injury patients with meniscus injury, there is no significant difference between the early operation group and the late operation group, but for the patients with meniscus injury, there is no significant difference between the two groups. It is suggested that early ACL reconstruction and meniscus repair can improve knee function.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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