[摘要] 目的 对关节镜下行同种异体韧带与自体肌腱进行前交叉韧带(ACL) 重建的中远期临床疗效作出评估。方法 对86例膝关节ACL病例进行回顾性分析，按手术方法不同分为A组和B组。其中A组应用同种异体韧带，共48例；B组应用自体肌腱重建前交叉韧带，共38例。对比两种方法术后1～5年期间患者膝关节功能评估(Lysholm 评分和膝关节疼痛程度)和膝关节客观评定。 结果 术后2年，两组的膝关节功能评估的Lysholm评分评分结果有明显差异性(P<0.05)。术后膝关节疼痛程度评价结果显示，术后2年及3年B组患者主观疼痛评分均高于A组(P<0.05)。术后2年膝关节疼痛客观评定结果显示，屈伸受限及稳定性试验B组优于A组(P<0.05)。结论 自体肌腱重建前交叉韧带中期疗效较同种异体韧带好，根据情况可优先选择。

    [关键词] 关节镜；前交叉韧带；同种异体韧带；自体肌腱

    [中图分类号] R687.2 [文献标识码] B [文章编号] 1673-9701(2016)16-0053-04

    [Abstract] Objective To evaluate the clinical medium and long-term efficacy of arthroscopic reconstruction of anterior cruciate ligament (ACL) by allogeneic ligament and autogenous tendon. Methods 86 cases of ACL were retrospectively analyzed and divided into group A and B as the differences of the surgeries. Allogeneic ligament was applied in the patients from group A with 48 cases and autogenous tendon was adopted to reconstruct the ACL in the patients from group B with 38 cases. Functional evaluation of knee joint (Lysholm scoring and pain degree of knee joint) and objective evaluation of knee joint of the patients within 1-5 years after the two surgeries was compared. Results Significant differences were presented in the Lysholm scoring of the patients from both groups 2 years after the surgeries (P<0.05). The objective evaluation of pain of patients from group B were higher than those of group A 2 and 3 years after the surgeries shown by the pain degree evaluation of the knee joint (P<0.05). The result of flexion and extension restriction and stability test of group B were better than those of group A (P<0.05). Conclusion The medium-term effect of reconstruction of anterior cruciate ligament by autogenous tendon is better than the allogeneic ligament ......