| 汤义民,陶 钧,董 斌,许克庆,陈小虎.关节镜下前交叉韧带重建术的手术时机对患者膝关节功能恢复的影响[J].,2019,19(4):755-758 |
| 关节镜下前交叉韧带重建术的手术时机对患者膝关节功能恢复的影响 |
| Effect of Operation Time on Knee Joint Function Recovery in Patient Undergone Arthroscopic Anterior Cruciate Ligament Reconstruction |
| 投稿时间：2018-07-07 修订日期：2018-07-30 |
| DOI：10.13241/j.cnki.pmb.2019.04.033 |
| 中文关键词: 前交叉韧带 重建术 关节镜 手术时机 膝关节功能 |
| 英文关键词: Anterior cruciate ligament Reconstruction Arthroscope Operation time Knee joint function |
| 基金项目:安徽省科技攻关项目（12010403163） |
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| 中文摘要: |
| 摘要 目的：研究关节镜下前交叉韧带（ACL）重建术的手术时机对患者膝关节功能恢复的影响。方法：选取2016年1月至2017年8月我院收治的膝关节ACL损伤患者65例为研究对象，所有患者均接受关节镜下ACL重建术治疗，并按照患者受伤至接受手术的时间分为研究组（n=35，受伤至接受手术的时间≤3周）和对照组（n=30，受伤至接受手术的时间>3周），术后对患者进行为期6个月的随访，对比两组患者术前和术后6个月的膝关节活动度、膝关节功能以及ACL恢复情况，并比较随访期间两组并发症发生情况。结果：术前，两组膝关节活动度、国际膝关节文献委员会膝关节评估表（IKDC）和Lysholm膝关节评分比较差异无统计学意义（P>0.05），术后6个月，两组膝关节活动度、IKDC评分和Lysholm膝关节评分均较术前升高，且研究组高于对照组，差异有统计学意义（P<0.05）。术前与术后6个月，两组前抽屉（ADT）试验和Lachman试验阴性率比较差异无统计学意义（P>0.05），但与术前比较，术后6个月两组ADT试验和Lachman试验阴性率均升高，差异有统计学意义（P<0.05）。与对照组比较，研究组并发症总发生率降低，差异有统计学意义（P<0.05）。结论：膝关节ACL损伤患者在不同时间内接受关节镜下ACL重建术治疗均具有较好的效果，但是在受伤后3周内接受手术对患者膝关节功能恢复效果更明显，同时并发症发生率也相对更低。 |
| 英文摘要: |
| ABSTRACT Objective: To study the effect of operation time on knee joint function recovery in patient undergone arthroscopic ante- rior cruciate ligament(ACL) reconstruction. Methods: 65 patients with knee joint ACL injury who were treated in our hospital from Jan- uary 2016 to August 2017 were selected as the research subjects. All patients were undergone arthroscopic ACL reconstruction. The pa- tients were divided into the study group (n=35, the time of injury to the operation ≤3 weeks) and the control group (n=30, the time of in- jury to the operation >3 weeks) according to the time of the patient's injury to the operation, and the patients were followed up for 6 months after operation. The knee joint activity, knee joint function and the recovery of ACL were compared between the two groups be- fore operation and 6 months after operation, and the complications during the follow-up period were compared betweenthe two groups.Results: Before operation, there was no significant difference in knee joint activity, the international knee documentation committee knee uation form (IKDC) score and the Lysholm knee score between the two groups (P>0.05). At 6 months after operation, knee joint activity,IKDC score and Lysholm knee score in the two groups were higher than those before operation, and the study group was higher than the control group, the difference was statistically significant (P<0.05). There was no significant difference in the negative rate between the anterior drawer (ADT) test and the Lachman test in the two groups before operation and 6 months after operation (P>0.05). But compared with before operation, the negative rates of ADT test and Lachman test in the two groups at 6 months after operation were all increased,the difference was statistically significant (P<0.05). Compared with the control group, the complication rate in the study group was signif- icantly lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion: The patients with knee joint ACL injury who are treated with arthroscopic ACL reconstruction at different times have a better effect. However, if surgery is performed within 3 weeks after injury, the knee joint function recovery of patients is more obvious, and the complication is more lower. |
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