【摘要】 目的探讨膝关节镜联合玻璃酸钠腔内注射在早期前交叉韧带(ACL)重建术中的应用及其对病人血清和关节液相关指标的影响评估。方法 ACL损伤病人91例,根据治疗方式的不同,分为研究组和对照组。其中研究组46例,关节镜下行ACL重建术联合术后关节腔内注射玻璃酸钠治疗;对照组45例,关节镜下行ACL重建术治疗。比较两组病人的临床疗效等差异。结果治疗后研究组病人的临床总有效率(95.7%)高于对照组(82.2%)(P<0.05);术前两组病人的相关关节液指标比较无差异(P>0.05),而术后10周研究组病人的相关关节液指标均较对照组改善明显(P<0.05);术前两组病人的相关血清指标比较无差异(P>0.05),而术后10周研究组病人的相关血清指标均较对照组改善明显(P<0.05);术前两组病人的膝关节功能及疼痛评分比较无差异(P>0.05),而术后10周研究组病人的膝关节功能及疼痛评分均较对照组改善明显(P<0.05)。结论膝关节镜下ACL重建术联合玻璃酸钠是治疗早期ACL损伤较为理想的治疗方案,此方案不仅可减轻病人的氧化炎性应激反应程度,同时还能起到镇痛作用并可改善预后,值得临床推广应用。更多还原

【Abstract】 Objective To investigate the analysis of Clinical efficacy,serum and joint fluid indexes of sodium hyaluronate injection and ACL reconstruction surgery in the treatment of ACL injury patients.Methods To screening 91 cases of ACL injury patients as research subjects,it will be divided into study group with 46 cases and control group with 45 cases,patients in control group were given ACL reconstruction surgery and patients in study group were given sodium hyaluronate injection and ACL reconstruction surgery,then the two groups were compared in terms of clinical efficacy and so on.Results After treatment,the total clinical effective rate(95.7%)was significantly higher in the study group than in the control group(82.2%)(P<0.05).There was no difference in the relevant joint fluid indexes between the two groups before surgery(P>0.05).The relevant joint fluid indexes of the study group were significantly improved compared with the control group at 10 weeks after operation(P<0.05).There was no difference in the serum indexes between the two groups before operation(P>0.05),the relevant serum indexes of the study group were significantly improved compared with the control group at 10 weeks after operation(P<0.05).There was no difference in knee function and pain score between the two groups before operation(P>0.05),The knee function and pain scores of the study group were significantly improved compared with the control group at 10 weeks after operation(P<0.05).Conclusion The sodium hyaluronate injection and ACL reconstruction surgery in the treatment of ACL injury patients is significant,it is worthy of popularization and application.更多还原