[1]刘治军 谢平金 魏合伟△ 叶大林 柴生颋 林智勇.单纯前交叉韧带损伤手术患者关节软骨损伤的情况分析[J].中国中医骨伤科杂志,2019,27(04):40-43+46.
 LIU Zhijun XIE Pingjin WEI Hewei YE Dalin CHAI Shengting LIN Zhiyong.Analysis of Articular Cartilage Injury in Patients Undergoing Anterior Cruciate Ligament Injury Surgery[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(04):40-43+46.
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单纯前交叉韧带损伤手术患者关节软骨损伤的情况分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年04期
页码:
40-43+46
栏目:
临床论著
出版日期:
2019-04-12

文章信息/Info

Title:
Analysis of Articular Cartilage Injury in Patients Undergoing Anterior Cruciate Ligament Injury Surgery
文章编号:
1005-0205(2019)04-0040-04
作者:
刘治军1 谢平金23 魏合伟1△ 叶大林12 柴生颋1 林智勇12
1广州中医药大学第三附属医院骨科(广州,510240) 2广州中医药大学 3深圳市罗湖区中医院(上海中医药大学深圳医院)
Author(s):
LIU Zhijun1 XIE Pingjin12 WEI Hewei1△ YE Dalin12 CHAI Shengting1 LIN Zhiyong12
1Affiliated Orthopedics and Trauma Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510240,China; 2Guangzhou University of Chinese Medicine, Guangzhou 510405,China; 3Shenzhen Luohu District Hospital of Traditional Chinese Medicine,Shenzhen 518000,China.
关键词:
前交叉韧带 软骨损伤 部位
Keywords:
anterior cruciate ligament cartilage injury position
分类号:
R686.5
文献标志码:
A
摘要:
目的:探讨单纯前交叉韧带损伤患者病程与膝关节软骨损伤的关系。方法:纳入2016年2月至2018年7月于广州中医药大学第三附属医院骨科,关节镜下诊断为单纯前交叉韧带损伤的患者212例,根据病程长短分为急性期组、亚急性期组、慢性期组进行软骨损伤程度及部位分部记录,并分析各组与软骨损伤之间的关系。结果:亚急性期组与慢性期组的软骨损伤率均高于急性期组,差异有统计学意义(P<0.05),而亚急性期组与慢性期组之间软骨损伤率未见显著差异。与急性期组对比,亚急性期组、慢性期组的Ⅱ级、Ⅲ级及Ⅳ级损伤比例均高于急性期组,差异有统计学意义(P<0.05); 而与亚急性期组对比,慢性期组Ⅳ级损伤比例高于亚急性期组,差异有统计学意义(P<0.05)。在103例软骨损伤者中,软骨损伤173处,其中以髌骨、股骨内髁、股骨外髁最为常见。各个部位的软骨损伤的发生率都随着时间推移逐渐提高。急性期组股骨外髁损伤率为14.29%,显著高于其他部位,差异有统计学意义(P<0.05)。但随时间的推移,股骨内髁与髌骨软骨损伤率增加显著,并显著高于其他部位,差异有统计学意义(P<0.05)。结论:单纯膝关节前交叉韧带损伤患者随着病程延长,软骨发生率和损伤部位逐渐增加,其中以股骨内髁与髌骨软骨损伤率显著增加,及时干预治疗有助于减少关节软骨的进一步损伤。
Abstract:
Objective:To investigate the relationship between the course of patients with anterior cruciate ligament injury and knee cartilage injury.Methods:From February 2016 to July 2018, at the The Affiliated Orthopedics and Trauma Hospital,Guangzhou University of Chinese Medicine 212 patients with anterior cruciate ligament injury under arthroscopy were classified into acute phase group according to the length of disease.The degree of cartilage damage and the location of the chronic phase group and the chronic phase group were recorded, and the relationship between each group and cartilage injury was analyzed.Results: Compared with the acute phase group, the cartilage injury rate in the subacute phase group and the chronic phase group was higher than that in the acute phase group(P<0.05), but there was no significant difference in cartilage injury rate between the subacute phase group and the chronic phase group.Compared with the acute phase group, the proportion of grade Ⅱ,Ⅲ, and Ⅳ injuries in the subacute phase group and the chronic phase group was higher than that in the acute phase group(P<0.05); compared with the subacute phase group, the chronic phase group was grade Ⅳ.The injury rate was higher than that in the subacute group(P<0.05).Among 103 cases of cartilage injury, 173 cartilage lesions were the most common, including humerus, femoral condyle, and femoral condyle.The incidence of cartilage damage at various sites gradually increases with time.In the acute phase, the femoral condyle injury rate was 14.29% significantly higher than other sites(P<0.05).However, over time, the rate of injury to the femoral condyle and tibial cartilage increased significantly and was significantly higher than other sites(P<0.05).Conclusion:Patients with anterior cruciate ligament injury of the knee joint have an increasing incidence of cartilage and injury at the time of prolonged disease.The injury rate of femoral condyle and tibial cartilage is significantly increased.Timely intervention can help to reduce further damage of articular cartilage.

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备注/Memo

备注/Memo:
基金项目:广东省中医药科研项目(20170283) 2018年广东省大学生创新训练计划立项项目 (201810572088) 2018年广东省大学生攀登计划项目(pdjh60116) 通信作者 E-mail:Whwhou@126.com
更新日期/Last Update: 2019-04-12