前交叉韧带重建术股骨止点定位的临床研究

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1、单位代码：10092学号：20121256HEBEINORTHUNIVERSITY硕士学位论文前交叉顿带重建术股骨止点定位的临床研究单位：河北北方学院专业：外科学（骨科）研究生姓名：郭艳宇导师姓名及职称:王振虎教授研究起止日期：2013.3-2015.3提交日期：2015.3分类号：R686.5密级：单位代码：10092学号：20121256前交叉韧带重建术股骨止点定位的临床研究单位：河北北方学院专业：外科学（骨科）研究生姓名：郭艳宇导师姓名及职称：王振虎教授研究起止日期：2013.3-2015.3提交日期

2、：2015.3河北北方学院研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。导师签名：研究生签名：2015年06月18日河北北方学院学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获的研究成果，其知识产权归河北北方学院所有。河北北方学院有权对本学位论文进行交流、公开和使用。导师签名：研究生签名

3、：2015年06月18日目录目录中文摘要·············································································1英文摘要·············································································3英文缩写········································································

4、·····4研究论文前交叉韧带重建术股骨止点定位的临床研究前言··········································································5材料与方法····································································5结果·········································································1

5、0附图·········································································11附表·········································································13讨论·········································································15结论······················

6、···················································18参考文献······································································19综述前交叉韧带重建术股骨止点定位的研究进展················27致谢············································································36个人简历····

7、········································································37I中文摘要前交叉韧带重建术股骨止点定位的临床研究摘要前瞻性对比关节镜下前交叉韧带（AnteriorCruciateligament，ACL）股骨止点的解剖重建和传统重建两种不同定位方法的术后近期临床疗效。选取自2013年3月到2014年6月解放军第252医院骨关节外科收治的ACL断裂患者，根据制定的选择条件和排除条件进行选择，符合条件的患者共62例，其中男性患者

8、50例，女性患者12例，年龄19~51岁，平均（30.90±9.18）岁，对所有患者进行术前Lysholm膝关节评分。根据拟实施关节镜下ACL重建手术股骨隧道定位点的不同，术前随机抽取将全部患者分为解剖重建组和对照组。其中解剖重建组32例，在术中股骨止点定位方式上采用单束解剖重建，即建立的股骨隧道定位点为髁间窝过顶点与“裸区”（我们将外髁的内侧面没有被软骨覆盖的区域称为“裸区”）凹点切迹的连线中心点，对照组30例