本文選題：自體腓骨長肌腱 + 同種異體肌腱��； 參考：《廣東醫(yī)學(xué)》2017年24期

【摘要】：目的研究分析自體腓骨長肌腱與同種異體肌腱在重建前交叉韌帶中的臨床療效。方法確診為前交叉韌帶損傷并行手術(shù)治療的患者,共計(jì)58例,根據(jù)術(shù)中移植物來源,將其分為A組(自體腓骨長肌腱重建組,n=29)和B組(同種異體肌腱重建組,n=29)。所有患者均統(tǒng)計(jì)手術(shù)時間、術(shù)中出血量、關(guān)節(jié)腫脹、足弓情況及踝外翻;評估手術(shù)前后膝關(guān)節(jié)Lysholm、Tegner、IKDC、VAS評分、KT-1000測量值及踝關(guān)節(jié)Kofoed評分。結(jié)果所有患者均獲得平均(12.69±0.90)個月(11~14個月)隨訪,無神經(jīng)血管損傷、感染、斷裂、足弓塌陷與外翻受限等并發(fā)癥。術(shù)前,A組與B組間的Lysholm、Tegner、IKDC、VAS、Kofoed評分及KT-1000測量值差異無統(tǒng)計(jì)學(xué)意義(P0.05)。A組、B組的手術(shù)時間為(103.62±9.15)min、(87.76±8.08)min,術(shù)中出血量為(71.03±15.49)mL、(55.86±11.03)mL,出院時膝關(guān)節(jié)腫脹發(fā)生率為3.4%、17.2%,兩者之間差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后,兩組末次隨訪的評分較治療前均有明顯改善,并差異有統(tǒng)計(jì)學(xué)意義(P0.05);A組與B組間的Lysholm、Tegner、IKDC、VAS、Kofoed評分及KT-1000測量值差異無統(tǒng)計(jì)學(xué)意義(P0.05);A組的Kofoed評分與術(shù)前相比無明顯差異(P0.05)。結(jié)論關(guān)節(jié)鏡下自體腓骨長肌腱與同種異體肌腱在重建前交叉韌帶的療效相似。腓骨長肌腱重建一定程度上增加了手術(shù)時間及出血量,但具有并發(fā)癥及費(fèi)用少等優(yōu)點(diǎn),可優(yōu)先考慮使用。
[Abstract]:Objective to study the clinical effect of reconstruction of anterior cruciate ligament (ACL) with autogenous long fibula tendon and allogeneic tendon. Methods 58 patients with anterior cruciate ligament injury underwent surgical treatment were divided into two groups: group A (group A) and group B (group B). The time of operation, intraoperative bleeding volume, joint swelling, arches of foot and ankle valgus were calculated in all patients, and the KT-1000 and Kofoed scores of knee joint were evaluated before and after operation. Results all the patients were followed up for an average of 12.69 鹵0.90 months (11-14 months). There were no complications such as nerve and blood vessel injury, infection, rupture, arch collapse and valgus limitation. There was no significant difference in the Kofoed score and KT-1000 measurement between group A and group B (P 0.05). The operative time of group B was 103.62 鹵9.15 min, the amount of intraoperative bleeding was 71.03 鹵15.49mL / L, and the incidence of knee swelling was 3.40.17.2mm / L, respectively. There was significant difference between the two groups in the incidence of knee swelling at discharge (P 0.05). After operation, the scores of the last follow-up in the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P 0.05). There was no significant difference in the Kofoed scores and the KT-1000 measurement values between group A and group B. There was no significant difference in Kofoed score between group A and group B (P 0.05), and there was no significant difference in Kofoed score between group A and group B (P 0.05). Conclusion the effect of arthroscopic reconstruction of anterior cruciate ligament with autologous long fibula tendon and allogeneic tendon is similar. The reconstruction of the long tendon of fibula increases the operation time and blood loss to some extent, but it has the advantages of less complications and less cost, so it can be used preferentially.
【作者單位】： 湖南師范大學(xué)附屬第一醫(yī)院湖南省人民醫(yī)院關(guān)節(jié)與運(yùn)動醫(yī)學(xué)科;
【基金】：湖南省科技廳重點(diǎn)研發(fā)計(jì)劃-社發(fā)支撐領(lǐng)域項(xiàng)目(編號:2015SK2047-1) 重慶市博士后科研項(xiàng)目特別資助項(xiàng)目(編號:Xm2016052) 湖南師范大學(xué)臨床醫(yī)學(xué)院仁術(shù)科研發(fā)展基金資助項(xiàng)目(編號:2015-15)
【分類號】：R687.2

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