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前交叉韧带重建胫骨切口位置与胫前皮肤感觉障碍临床研究
引用本文:郝艳丽,周正宏,刘艳华,高小雁,张辉. 前交叉韧带重建胫骨切口位置与胫前皮肤感觉障碍临床研究[J]. 中国运动医学杂志, 2010, 29(1)
作者姓名:郝艳丽  周正宏  刘艳华  高小雁  张辉
作者单位:北京积水潭医院,北京,100035
摘    要:目的:探讨前交叉韧带重建手术胫前皮肤切口与胫前皮肤感觉障碍的关系。方法:2007年10月~2008年6月,采用不同技术重建前交叉韧带共223例病例,其中50例得到随访,根据不同的切口类型分为小切口组、斜切口组、直切口组与后内切口组4组,测量各组胫前皮肤感觉障碍区域的面积,采用方差分析比较各组间皮肤感觉障碍面积的差异。结果:小切口组切口长度与斜切口组、直切口组、后内切口组相比较,差异有统计学意义(P<0.001);对于感觉减退区域的面积,小切口组、斜切口组之间差异无统计学意义(P=0.800),直切口组、后内切口组之间差异也无统计学意义(P=0.316),而小切口组、斜切口组与直切口组、后内切口组的差异有统计学意义(P<0.05)。结论:采用小切口和斜切口可以减少前交叉韧带重建术后胫前皮肤感觉障碍的面积。

关 键 词:前交叉韧带重建  关节镜  隐神经髌下支  胫前皮肤感觉障碍

The Study of Sensory Disturbance of Different Skin Incision in Anterior Cruciate Ligament Reconstruction
Hao Yanli,Zhou Zhenghong,Liu Yanhua,Gao Xiaoyan,Zhang Hui. The Study of Sensory Disturbance of Different Skin Incision in Anterior Cruciate Ligament Reconstruction[J]. Chinese Journal of Sports Medicine, 2010, 29(1)
Authors:Hao Yanli  Zhou Zhenghong  Liu Yanhua  Gao Xiaoyan  Zhang Hui
Affiliation:Hao Yanli,Zhou Zhenghong,Liu Yanhua,Gao Xiaoyan,Zhang Hui Beijing Jishuitan hospital,Beijing,China 100035
Abstract:Objective To observe the relationship between the skin incision of anterior cruciate ligament(ACL) reconstruction and the sensory disturbance around the surgical incision of the leg.Methods From Oct 2007 to Jun 2008,223 patients underwent arthroscopy ACL reconstruction,among them 50 patients were followed-up and defined as four groups according to different types of skin incision.The area of skin sensory disturbance around the incision were measured and compared.Results Compared with transversal incision gr...
Keywords:anterior cruciate ligament reconstructiona  rthroscopyi  nfrapatellar branch of the saphenous nerve  sensory disturbance of anterior tibial skin  
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