CAJ | 학술논문

目的：比较自体肌腱与同种异体肌腱重建前交叉韧带术后早期疗效差异。方法自2011年10月~2012年10月行前交叉韧带重建患者163例。根据采用移植物的不同将患者分为自体组85例,异体组78例。术后随访1个月,比较两组患者的手术时间、引流量、发热天数、术后第7天患肢肿胀程度、患肢肌力恢复程度、术后第3天及第7天CRP值。结果异体组的手术时间(39.2±1.3)min显著低于自体组(52.6±1.7)min,术后异体组引流量(106.7±2.6)ml与自体组(102.6±4.3)ml无明显差异,异体组发热天数(4.6±0.5)d显著长于自体组(1.3±0.2)d,异体组术后患肢早期肌力恢复程度显著高于自体组,异体组的患肢肿胀程度显著低于异体组,异体组术后第3天CRP值(32.9±1.2)mg/L与自体组(31.5±0.8) mg/L无显著差异,异体组术后第7天CRP值(91.7±9.6)mg/L显著高于自体组(12.8±6.1)mg/L。结论异体组术后早期临床疗效优于自体组。
목적：비교자체기건여동충이체기건중건전교차인대술후조기료효차이。방법자2011년10월~2012년10월행전교차인대중건환자163례。근거채용이식물적불동장환자분위자체조85례,이체조78례。술후수방1개월,비교량조환자적수술시간、인류량、발열천수、술후제7천환지종창정도、환지기력회복정도、술후제3천급제7천CRP치。결과이체조적수술시간(39.2±1.3)min현저저우자체조(52.6±1.7)min,술후이체조인류량(106.7±2.6)ml여자체조(102.6±4.3)ml무명현차이,이체조발열천수(4.6±0.5)d현저장우자체조(1.3±0.2)d,이체조술후환지조기기력회복정도현저고우자체조,이체조적환지종창정도현저저우이체조,이체조술후제3천CRP치(32.9±1.2)mg/L여자체조(31.5±0.8) mg/L무현저차이,이체조술후제7천CRP치(91.7±9.6)mg/L현저고우자체조(12.8±6.1)mg/L。결론이체조술후조기림상료효우우자체조。
Objective To campare the early clinical efficacy of autograft and allograft tendon in anterior cruciate ligament reconstruction. Methods From October 2011 to October 2012, 163 patients of injured Anterior Cruciate Ligament were reconstructed. According to different graft was used in anterior cruciate ligament reconstruction, they were divided into two groups. 85 cases of patients were reconstructed by autograft is Group A, 78 cases of patients were reconstructed by allograft is Group B.After 1 month follow up, to compare the operation time, the drainage amount, postoperative fever days, the degree of limb myodynamia recovery, the seventh day of postoperative limb swelling degree, the CRP value about the third and seventh day of postoperative. Results <br> The time of operation in Group B(39.2±1.3)min was significant shorter than that in Group A(52.6±1.7 )min, the drainage amount was no significant difference between Group B(106.7±2.6)mland Group A(102.6±4.3)ml, the postoperative fever days in Group B (4.6±0.5)d was significant longer than that in Group A(1.3±0.2)d, the degree of limb myodynamia recovery in Group B was significant higher than that in Group A , the seventh day of postoperative limb swelling degree in Group B was significant lower than that in Group A, the CRP value about the third day of postoperative was no significant difference between Group B (32.9±1.2)mg/L and Group A (31.5±0.8 )mg/L, the CRP value about the seventh day of postoperative in Group B (91.7±9.6)mg/L was significant higher than that in Group A (12.8±6.1)mg/L. Conclusion The early postoperative clinical effects of anterior cruciate ligament reconstruction with allograft was better than that with autograft.