| 刘核达,左俊水,杨宗宇,武 晔,崔 亮,李森田.前交叉韧带保留残端重建对患者术后膝关节本体感觉功能恢复的影响[J].,2018,(20):3954-3958 |
| 前交叉韧带保留残端重建对患者术后膝关节本体感觉功能恢复的影响 |
| Effect of Reconstruction of Anterior Cruciate Ligament Stump on Recovery of Proprioceptive Function of Knee Joint after Operation |
| 投稿时间：2018-02-28 修订日期：2018-03-24 |
| DOI：10.13241/j.cnki.pmb.2018.20.035 |
| 中文关键词: 前交叉韧带重建 保留残端重建 膝关节功能 本体感觉功能 关节镜 |
| 英文关键词: Reconstruction of anterior cruciate ligament stump Retained stump reconstruction Knee function Proprioceptive function Arthroscope |
| 基金项目:河北省科技厅自筹经费科技项目（2017277） |
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| 中文摘要: |
| 摘要 目的：研究前交叉韧带保留残端重建对患者术后膝关节本体感觉功能恢复的影响。方法：选取2014年3月-2016年3月于我院行膝关节镜下前交叉韧带重建手术患者108例，采用随机数字表法将所有患者分为对照组（n=54）和研究组（n=54）。对照组给予非保留残端重建治疗，研究组给予保留残端重建治疗，两组患者均进行为期12个月的随访观察。分别比较两组患者术前、术后3个月、术后6个月、术后12个月膝关节功能以及本体感觉功能恢复情况。结果：术前、术后12个月两组患者膝关节Lysholm评分对比均无统计学差异（P>0.05），术后3个月、术后6个月研究组膝关节Lysholm评分明显高于对照组，差异有统计学意义（P<0.05）。术后各个时间两组患者膝关节Lysholm评分均高于术前，且随着时间的推移呈上升的趋势，差异有统计学意义（P<0.05）。术前、术后12个月两组膝关节被动活动察觉阈值、被动角度再生试验结果对比无统计学差异（P>0.05），术后3个月、术后6个月研究组的膝关节被动活动察觉阈值、被动角度再生试验结果明显低于对照组，差异有统计学意义（P<0.05），术后各个时间两组患者膝关节被动活动察觉阈值、被动角度再生试验结果均低于术前，且随着时间的推移呈下降的趋势，差异有统计学意义（P<0.05）。两组患者不良反应发生率均为1.85%，无统计学差异（P>0.05）。结论：前交叉韧带保留残端重建有利于患者术后膝关节功能以及本体感觉功能早期恢复，安全性好，值得临床推广。 |
| 英文摘要: |
| ABSTRACT Objective: To study the effect of reconstruction of anterior cruciate ligament stump on the recovery of proprioceptive function of knee joint after operation. Methods: A total of 108 patients,who underwent arthroscopic reconstruction of anterior cruciate ligament stump in Cangzhou Hospital of Integrated TCM and Western Medicine of Hebei Province from March 2014 to March 2016, were selected and were randomly divided into study group (n=54) and control group (n=54). The control group was given non reserved stump reconstruction treatment, and the study group was given retained stump reconstruction treatment. The patients of the two groups were followed-up for 12 months. The function of knee joint and the recovery of proprioceptive function were compared between the two groups before operation, 3 months, 6 months and 12 months after operation. Results: There was no significant difference in Lysholm score between the two groups before operation and 12 months after operation (P>0.05). The Lysholm score of the knee joint of the study group was significantly higher than that of the control group 3 months and 6 months after operation, and the difference was statistically significant (P<0.05). The Lysholm score of knee joint in the two groups was higher than that before operation and after operation, and the trend increased with the time, the difference was statistically significant (P<0.05). There weres no statistical difference in the motion detection threshold and passive angle regeneration test before operation and 12 months after operation between the two groups (P>0.05).The passive motion detection threshold and passive angle regeneration test in the study group 3 months and 6 months after operation were significantly lower than those in the control group, the difference was statistically significant (P<0.05). After operation, the passive motion detection threshold and passive angle regeneration test results of the two groups were all lower than those before operation,decreasing with the time, the difference was statistically significant (P<0.05). The incidence of adverse reactions in the two groups was 1.85%, with no statistical difference (P>0.05). Conclusion: The reconstruction of the anterior cruciate ligament with retained residual end is beneficial to the postoperative recovery of the function of the knee joint and the function of proprioception, with good safety, which is worthy of clinical promotion. |
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