Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (26): 4174-4178.doi: 10.3969/j.issn.2095-4344.0939
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Xiang Shan-shan1, Fu Ming2, Zhang Zhi-qi2, Yang Zi-bo2, Chen Zhong-xian1
Received:
2018-03-02
Contact:
Fu Ming, Chief physician, Professor, Department of Joint Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong Province, China
About author:
Xiang Shan-shan, Master, Attending physician, Department of Orthopaedics, Jiangmen Hospital of Sun Yat-sen University, Jiangmen 529000, Guangdong Province, China
CLC Number:
Xiang Shan-shan, Fu Ming, Zhang Zhi-qi, Yang Zi-bo, Chen Zhong-xian. Arthroscopic reconstruction for acute and chronic anterior cruciate ligament injuries using autologous or allogeneic tendon graft: an evaluation of reconstruction effects[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(26): 4174-4178.
2.2 膝关节功能变化 各组手术前后Lysholm评分,见表2;各组间术后2×2析因设计4种组合Lysholm评分,见表3。 术后4组间根据析因设计的方差分析得到:①重建时间不同的主效应无显著性意义(F=1.30,P=0.26),急性损伤和陈旧性损伤的前交叉韧带重建后Lysholm评分无差异;②内植物材料不同的主效应有显著性意义(F=5.31,P=0.02),自体肌腱重建患者术后Lysholm评分高于异体肌腱重建患者;③重建时间和内植物材料的交互效应有显著性意义(F=5.41,P=0.02),此时各因素主效应已无实际意义。进一步做各因素的单独效应分析:①急性损伤时,使用自体肌腱和同种异体肌腱评分差异有显著性意义(P=0.02);②陈旧性损伤时,使用自体肌腱和同种异体肌腱评分差异无显著性意义(P=0.72);③使用自体肌腱时,急性损伤和陈旧性损伤评分差异无显著性意义(P=0.16);④使用异体肌腱时,急性损伤和陈旧性损伤评分差异无显著性意义(P=0.13)。 2.3 不良反应、排异反应及生物相容性分析 手术后主要的不良反应有伤口感染、下肢深静脉血栓及异体肌腱的排异反应(相关病例均予以排除,未纳入研究),虽然异体肌腱广泛使用深低温冷冻及射线照射处理,但未能完全消除其排斥反应的发生率。"
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