CAJ | 학술논문

目的：对比自体与异体肌腱微创移植重建踝关节外侧韧带的疗效差异。方法选取2008年1月-2012年1月行微创移植术重建踝关节外侧韧带患者70例，分为自体组36例和异体组34例。2组均行微创移植术重建踝关节外侧韧带，自体组采用同侧患肢内侧的半腱肌肌腱进行移植，异体组采用同种异体韧带，术后均给予相同的康复训练。结果自体组的手术时间显著长于异体组（P＜0．01），发热和伤口愈合时间则显著少于异体组（P＜0．05或P＜0．01）；2组术后1年的踝与外足评分、距骨倾斜角及距骨迁移距离均显著改善（P＜0．01），但组间无显著差异（P＞0．05）；随访2年后，自体组疗效优良率为74．29％，与异体组68．75％比较无显著差异（P＞0．05）。结论自体与异体肌腱微创移植重建踝关节外侧韧带各有利弊，临床应用时应根据患者具体情况进行选择。
목적：대비자체여이체기건미창이식중건과관절외측인대적료효차이。방법선취2008년1월-2012년1월행미창이식술중건과관절외측인대환자70례，분위자체조36례화이체조34례。2조균행미창이식술중건과관절외측인대，자체조채용동측환지내측적반건기기건진행이식，이체조채용동충이체인대，술후균급여상동적강복훈련。결과자체조적수술시간현저장우이체조（P＜0．01），발열화상구유합시간칙현저소우이체조（P＜0．05혹P＜0．01）；2조술후1년적과여외족평분、거골경사각급거골천이거리균현저개선（P＜0．01），단조간무현저차이（P＞0．05）；수방2년후，자체조료효우량솔위74．29％，여이체조68．75％비교무현저차이（P＞0．05）。결론자체여이체기건미창이식중건과관절외측인대각유리폐，림상응용시응근거환자구체정황진행선택。
Obj ective To compare the difference of therapeutic efficacy of autologous and allogenic tendon for reconstruction of the ligaments of the lateral ankle by minimally invasive trans-plantation.Methods A total of 70 patients with reconstruction of the ligaments of the lateral ankle by minimally invasive transplantation were selected and divided into autologous group (36 cases)and allogenic group (34 cases).Patients of 2 groups were performed with minimally invasive transplan-tation for reconstruction of the ligaments of the lateral ankle.Autologous group adopted semitendi-nosus tendon of the inside of ipsilateral limb for transplantation and allogenic group adopted allograft ligaments.The same rehabilitation training was given for 2 groups after transplantation.Results The time of transplantation in autologous group was significantly longer than allogenic group (P<0 .0 1 )but the time of fever and wound healing of autologous group was shorter than allogenic group (P<0.05,or P<0.01).The score of ankle and exopodal,slant angle and migration distance of astragalus significantly improved (P<0.01),but there was no significant difference (P>0.05). After 2 years of follow up,the rate of good efficacy of autologous group was 74.29%and allogenic group was 68 .75%,and there was no significant difference between 2 groups (P>0 .05 ).Conclu-sion Either Autologous tendon or allogenic tendon has advantages and disadvantages in reconstruc-tion of the ligaments of the lateral ankle by minimally invasive transplantation,the operation should be selected according to the condition of the patients.