摘要
目的比较关节镜下同种异体肌腱移植和自体肌腱移植重建膝关节前后交叉韧带的临床效果。方法将130例膝关节前后交叉韧带断裂的患者按手术方式的不同分为2组,观察组采用同种异体肌腱移植,对照组采用自体肌腱移植,观察患者临床疗效。结果观察组手术时间明显少于对照组(P<0.05);观察组IKDC评定与对照组比较差异无统计学意义(P>0.05);2组患者术后Lysholm及Tengner评分均明显高于术前,2组差异有统计学意义(P<0.05),观察组及对照组术后Lysholm及Tegner评分比较无明显差异(P>0.05)。结论同种异体与自体肌腱重建ACL及PCL的疗效相近,是重建ACL及PCL良好的移植物。
Objective To compare the clinical effect of reconstructing the anterior and posterior cruciate ligaments of knee joint with al- lografttendon and autogenous tendon transplantation. Methods 130 patients with anterior and posterior crueiate ligaments of knee fractured were randomly divided into two groups： the observation group were given allogeneic tendon transplantation while the control group were autol- ogous tendon transplantation. Observed the clinical efficacy of the two groups. Results The operation time of the observation group was ob- viously less than control group（ P 〈 0.05 ） ; there was no statistically significant difference in the IKDC of the observation group compared with the control group （ P 〉 0.05 ） ; the Lysholm and Tengner score of the two groups were significantly higher compared with the preoperative scores with a statistically significant difference （ P 〈 0.05 ）, but there was no statistically significant difference between Lysholm scoreand Tengner score of the two groups after operation（P 〉 0.05 ）. Conclusion Allogeneic tendon transplantation has similar curative effect with autologous tendon transplantation, both of them are good transplantation material for anterior and posterior cruciate ligaments reconstruction.
出处
《局解手术学杂志》
2014年第1期25-26,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
前交叉韧带
肌腱重建
关节镜
膝关节损伤
anterior and posterior cruciate ligaments
tendon reconstruction
arthroscopy
