【摘要】 目的通过对收治的４８例后交叉韧带损伤患者的病历分析，探讨有关后交叉韧带损伤的诊断和治疗的问题。方法对所有患者，经物理检查、影像学检查，并结合病史确诊后，分别予以石膏托外固定、起止点重建、原位缝合修补、髂胫束移植重建，半腱肌移植重建、髌韧带中１／３的骨－韧带－骨移植重建、股薄肌移植重建，并配合康复治疗。结果所有病例有效随访４个月～２０年，平均６年８个月，方法不同，疗效不同，优良率５２．１％，有效率７９．２％。结论（１）提高早期的诊断率，可以提高后交叉韧带损伤的疗效。（２）非手术治疗的疗效，远低于手术治疗的疗效，而手术治疗的方法较多，其中以带骨块的起止点修复重建术和髌韧带中１／３的骨－韧带－骨自体移植重建疗效最佳。（３）早期手术治疗和及时、正确的修复并发的复合伤，是提高治疗效果，减少膝关节功能的丢失，降低和推迟晚期并发症发生的重要前提。更多还原

【Abstract】 ObjectiveTo compare the treatment results of posterior cruciate ligament injury of the knee by different methods. MethodsFortyeight patients with posterior cruciate ligament injury treated by a variety of nonoperative and operative methods were reviewed. ResultsAll the patients were followedup for an average of 6 years and 8 months(range, 4 months to 20 years), and had a satisfactory rate of 52.1%. ConclusionThe satisfactory rate in nonoperative group was lower than that in operated ones. Among a variety of surgical methods, the bone-tendon-bone reconstruction appeared to be the best. Early operation and correctly repairing the associated injuries were crucial to improve the result and reduce the loss of function and late complications.更多还原