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目的:探讨前交叉韧带断裂伴发半月板损伤相关因素及关节镜手术治疗效果。方法:选取中国医科大学附属盛京医院2014年7月至2018年5月收治的前交叉韧带断裂患者98例，根据是否伴发半月板损伤分为半月板损伤组(67例)、无半月板损伤组(31例)；对前交叉韧带断裂伴发半月板损伤患者根据手术治疗方式分为研究组37例(关节镜下同时修复重建前交叉韧带和半月板损伤)、对照组30例(关节镜下仅修复半月板损伤)。分析影响前交叉韧带断裂伴发半月板损伤的相关因素，比较研究组与对照组手术效果[半月板损伤治愈率及1年再手术率、国际膝关节文献委员会膝关节评估表(IKDC)及Lysholm膝关节功能评分]。结果:多因素logistic回归分析显示，病程早期[95%n CI(1.444，41.687)，n P<0.05]、病程中期[95%n CI(1.682，52.147)，n P<0.05]、病程慢性期[95%n CI(3.623，180.32)，n P<0.05]、有再伤史[95%n CI(2.649，27.222)，n P<0.05]是前交叉韧带断裂伴发半月板损伤的危险因素。研究组半月板损伤治愈率为89.19%(33/37)，高于对照组的66.67%(20/30)，1年再手术率为5.41%(2/37)，低于对照组的26.67%(8/30)，差异均有统计学意义(χn 2＝5.084、5.898，均n P<0.05)。术后12个月，研究组与对照组IKDC及Lysholm评分比术前提高，研究组IKDC及Lysholm评分分别为(90.25±14.67)分、(88.36±11.25)分，高于对照组的(73.52±10.12)分、(71.47±10.68)分，差异均有统计学意义(n t＝12.129、19.309，均n P<0.05)。n 结论:前交叉韧带断裂患者伴发半月板损伤与病程、再伤史有关，关节镜手术同时修复重建前交叉韧带和半月板损伤可明显改善患者膝关节功能，提高该类患者半月板损伤治愈率，降低短期再手术率。“,”Objective:To explore the related factors of anterior cruciate ligament rupture with meniscus injury and the effect of arthroscopic surgery.Methods:From July 2014 to May 2018, 98 patients with anterior cruciate ligament rupture admitted to Shengjing Hospital Affiliated to China Medical University were divided into meniscus injury group(67 cases) and without meniscus injury group(31 cases) according to whether they had meniscus injury.The patients with anterior cruciate ligament rupture and meniscal injury were divided into study group(37 cases underwent arthroscopic reconstruction of anterior cruciate ligament and meniscus injury), and 30 cases in control group(only meniscus was repaired under arthroscopy). The factors affecting the anterior cruciate ligament rupture associated with meniscus were analyzed, and the surgical outcomes of the study group and the control group(the cure rate of meniscus injury and the 1-year reoperation rate, IKDC and Lysholm knee function score) were compared.Results:Multivariate logistic regression analysis showed that early course of disease[95%n CI(1.444, 41.68), n P<0.05], middle course of disease[95%n CI(1.682, 52.147), n P<0.05], chronic phase[95%n CI(3.623, 180.32), n P<0.05]), history of recurrent injury[95%n CI(2.649, 27.222), n P<0.05]) were risk factors of meniscus injury caused by rupture of anterior cruciate ligament.The treatment rate of meniscus injury in the study group[89.19%(33/37)]was higher than that in the control group[66.67%(20/30)], the reoperation rate in the study group[5.41%(2/37)]was lower than that in the control group[26.67%(8/30)], the differences were statistically significant (χn 2=5.084, 5.898, all n P<0.05). At 12 months after operation, the scores of IKDC and Lysholm in the study group were (90.25±14.67)points and (88.36±11.25)points, respectively, which were significantly higher than those in the control group[(73.52±10.12)points and (71.47±10.68)points](n t=12.129, 19.309, all n P<0.05).n Conclusion:The patients with anterior cruciate ligament rupture complicated with meniscus are associated with history and recurrent injury history.Arthroscopic surgery for simultaneous reconstruction of anterior cruciate ligament and meniscus injury can significantly improve knee joint function, improve the cure rate of meniscus injury in this type of patients, and reduce short-term reoperation rate.