CAJ | 학술논문

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。
목적：비교관절경하동충이체기건이식화자체기건이식중건슬관절전후교차인대적림상효과。방법장130례슬관절전후교차인대단렬적환자안수술방식적불동분위2조,관찰조채용동충이체기건이식,대조조채용자체기건이식,관찰환자림상료효。결과관찰조수술시간명현소우대조조(P<0.05)；관찰조IKDC평정여대조조비교차이무통계학의의(P>0.05)；2조환자술후Lysholm급Tengner평분균명현고우술전,2조차이유통계학의의(P<0.05),관찰조급대조조술후Lysholm급Tegner평분비교무명현차이(P>0.05)。결론동충이체여자체기건중건ACL급PCL적료효상근,시중건ACL급PCL량호적이식물。
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 cruciate 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.