首页|膝关节前交叉韧带Ⅲ级损伤保守治疗与手术治疗的比较研究

膝关节前交叉韧带Ⅲ级损伤保守治疗与手术治疗的比较研究

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目的:通过膝关节前交叉韧带(ACL)损伤后保守治疗及手术治疗的对比,探讨膝关节ACL损伤的不同治疗方案,为临床治疗方式的选择提供参考.方法:回顾分析Ⅲ级膝关节ACL损伤患者资料 40 例,根据治疗方法分为保守治疗组及手术治疗组,各 20 例.比较治疗前、治疗后 2 年两组视觉模拟量表(VAS)评分、Lysholm膝关节功能评分及膝关节屈伸活动度.结果:治疗后 2 年,两组VAS、Lysholm膝关节功能评分及膝关节活动度均有改善(P<0.05);两组VAS、Lysholm膝关节功能评分及膝关节活动度组间比较,差异无统计学意义(P>0.05).此外,治疗后 2年,手术治疗组年龄<14 岁的患者Lysholm膝关节功能评分低于年龄≥14 岁的患者(P<0.05).结论:Ⅲ级ACL损伤患者采用手术治疗和保守治疗的综合结果差异不大,但是保守治疗患者不用承受手术伤痛与可能带来的术后并发症,因此建议Ⅲ级ACL损伤患者应优先考虑保守治疗,尤其是对青少年而言,使用保守治疗的效果会更优.
A comparative study of conservative treatment versus surgical treatment on grade Ⅲ knee anterior cruciate ligament injuries
Objective:By comparing conservative and surgical treatments after anterior cruciate ligament(ACL)injury of the knee,different treatment options for ACL injury of the knee are explored to provide reference for the choice of clinical treatment.Methods:The data from forty patients with grade Ⅲ knee ACL injury were retrospectively analyzed and they were divided into a conservative treatment group and a surgical treatment group with 20 cases each according to the treatment method.The visual analogue scale(VAS)scores,Lysholm knee function scores and range of motion of knee before treatment and 2 years after treatment were compared between two groups.Results:At 2 years after treatment,VAS and Lysholm knee function scores and knee mobility were improved in both groups(P<0.05);the differences between two groups in VAS and Lysholm knee function scores and knee mobility were not statistically significant(P>0.05).In addition,2 years after treatment,the Lysholm knee function score in patients aged<14 years in the surgical treatment group was lower than that of patients aged≥14 years(P<0.05).Conclusion:There is little difference in the overall outcome between patients with grade Ⅲ ACL injuries treated with surgery and conservative treatment,but patients treated conservatively do not have to suffer from surgical injuries and possible postoperative complications;therefore,it is recommended that patients with grade Ⅲ ACL injuries should be prioritized for conservative treatment,and especially for adolescents,the use of conservative treatment will have a superior outcome.

anterior cruciate ligament injurysurgical treatmentconservative treatmentknee function

林奕伦、张灿洪、杨小明、施建辉、闻博

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泉州市第一医院骨科 泉州 361001

前交叉韧带损伤 手术治疗 保守治疗 膝关节功能

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(3)
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