首页 中华创伤杂志 2022年38卷06期 前交叉韧带损伤临床诊疗循证指南（2022版）
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前交叉韧带损伤临床诊疗循证指南（2022版）
白伦浩 
陈疾忤
陈坚
陈东阳
戴雪松
关振鹏
何盛为
蒋佳
蒋青
兰海
李庭
刘宁
陆伟
乔义
孙鲁宁
王卫国
王卫明
徐斌
徐洪港
徐永胜
肖文峰
杨梁
游洪波
余家阔
于腾波
张新涛
张辉
赵松
朱威宏
赵金忠 
作者及单位信息
·
DOI： 10.3760/cma.j.cn501098-20220314-00185
Clinical evidence-based guideline for the diagnosis and treatment of anterior cruciate ligament injury (2022 version)
Bai Lunhao
Chen Jiwu
Chen Jian
Chen Dongyang
Dai Xuesong
Guan Zhenpeng
He Shengwei
Jiang Jia
Jiang Qing
Lan Hai
Li Ting
Liu Ning
Lu Wei
Qiao Yi
Sun Luning
Wang Weiguo
Wang Weiming
Xu Bin
Xu Honggang
Xu Yongsheng
Xiao Wenfeng
Yang Liang
You Hongbo
Yu Jiakuo
Yu Tengbo
Zhang Xintao
Zhang Hui
Zhao Song
Zhu Weihong
Zhao Jinzhong
Authors Info & Affiliations
Bai Lunhao
Shengjing Hospital of China Medical University, Shenyang 110004, China
Chen Jiwu
First People′s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 201620, China
Chen Jian
Peking University People′s Hospital, Beijing 100044, China
Chen Dongyang
Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China
Dai Xuesong
Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310052, China
Guan Zhenpeng
Peking University Shougang Hospital, Beijing 100144, China
He Shengwei
Second Hospital of Dalian Medical University, Dalian 116023, China
Jiang Jia
Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China
Jiang Qing
Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China
Lan Hai
Affiliated Hospital of Chengdu University, Chengdu 610081, China
Li Ting
Beijing Jishuitan Hospital, Beijing 100035, China
Liu Ning
Zhengzhou Orthopaedics Hospital, Zhengzhou 450015, China
Lu Wei
Second People′s Hospital of Shenzhen, Shenzhen 518025, China
Qiao Yi
Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China
Sun Luning
Jiangsu Province Hospital of Chinese Medicine, Nanjing 210004, China
Wang Weiguo
China-Japan Friendship Hospital, Beijing 100029, China
Wang Weiming
Xinhua Hospital Affiliated to Dalian University, Dalian 116021, China
Xu Bin
First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
Xu Honggang
First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
Xu Yongsheng
Inner Mongolia People′s Hospital, Huhhot 010017, China
Xiao Wenfeng
Xiangya Hospital of Central South University, Changsha 410008, China
Yang Liang
Second Hospital of Dalian Medical University, Dalian 116023, China
You Hongbo
Tongji Hospital of Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China
Yu Jiakuo
Peking University Third Hospital, Beijing 100191, China
Yu Tengbo
Affiliated Hospital of Qingdao University, Qingdao 266000, China
Zhang Xintao
Peking University Shenzhen Hospital, Shenzhen 518036, China
Zhang Hui
Beijing Jishuitan Hospital, Beijing 100035, China
Zhao Song
Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China
Zhu Weihong
Second Xiangya Hospital of Central South University, Changsha 410007, China
Zhao Jinzhong
Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China
·
DOI： 10.3760/cma.j.cn501098-20220314-00185
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摘要
前交叉韧带（ACL）损伤是一种常见的运动损伤，对膝关节功能有严重影响，限制患者的活动能力。随着我国全民健身运动的普及，ACL损伤发生率正逐年增加。对于ACL损伤，如何选择合适的治疗方法、手术方案与康复计划，目前缺乏相关的临床规范或指南。为了及时反映ACL损伤的诊疗新理念，规范其诊治并提高疗效，中国研究型医院学会运动医学专业委员会与《中华创伤杂志》编辑委员会组织国内骨科与运动医学专家，遵循科学性、实用性和先进性的原则，基于循证医学证据等级，制订了《前交叉韧带损伤临床诊疗循证指南》（2022版），针对ACL损伤的诊疗与康复提出12条推荐建议，为提高ACL损伤的临床诊疗效果提供指导和帮助。
前交叉韧带损伤;膝关节;运动损伤;实践指南
ABSTRACT
The anterior cruciate ligament (ACL) injury is a common sports injury that has a significant impact on knee function and patients′ mobility. With the popularity of national fitness campaign in China, the incidence of ACL injury is increasing year by year. Currently, there still lacks clinical standards or guidelines on how to choose appropriate treatment methods, surgical plans and rehabilitation protocols for ACL injury. In order to timely reflect the new treatment concept of ACL injury, standardize its diagnosis and treatment and improve the curative effect, the Sports Medicine Society of Chinese Research Hospital Association and the Editorial Board of Chinese Journal of Trauma organized domestic orthopedic and sports medicine experts to formulate the "clinical evidence-based guideline for the diagnosis and treatment of anterior cruciate ligament injury (2022 version)" based on the level of evidence-based medicine and in compliance with the principle of scientificity, practicability and advancement. The present guideline includes 12 recommendations for the diagnosis, treatment and rehabilitation of ACL injury in order to provide guidance and assistance for the clinical diagnosis and treatment of ACL injury in China.
Anterior cruciate ligament injuries;Knee joint;Athletic injuries;Practice guideline
Zhao Jinzhong, Email:
nc.defudabe.utjsoahzzj, Tel: 0086-1391-7396-491
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引用本文
白伦浩,陈疾忤,陈坚,等. 前交叉韧带损伤临床诊疗循证指南（2022版）[J]. 中华创伤杂志,2022,38(06)：492-503.
DOI:10.3760/cma.j.cn501098-20220314-00185PERMISSIONS
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前交叉韧带（anterior cruciate ligament，ACL）是维持膝关节稳定的重要结构，也是竞技、休闲运动及其他原因造成膝关节损伤时最易受损的结构
［
1
］
。随着我国全民健身运动的普及，ACL损伤的发生率逐年增加。作为一种常见的运动系统损害，ACL损伤可以由多种机制引发，包括高能量机制（如机动车碰撞）和低能量机制（如体育运动中的接触性损伤和非接触性损伤）
［
2
,
3
］
。其中低能量、非接触性损伤机制最为常见，多在做旋转或跳跃动作时发生
［
2
,
3
］
。ACL损伤不仅会导致膝关节疼痛、肿胀和不稳，还会导致患者运动能力和生活质量下降。ACL损伤会继发创伤性骨关节炎、半月板损伤及健侧ACL损伤
［
4
］
。对于ACL损伤的诊疗，目前缺乏相关的临床规范或指南。因此，ACL损伤规范化诊疗体系的建立至关重要。为帮助临床医师及时掌握ACL损伤的诊断及治疗新理念，并了解相关循证医学研究的最新进展，中国研究型医院学会运动医学专业委员会与《中华创伤杂志》编辑委员会组织国内骨科与运动医学专家，本着科学性、实用性和先进性原则，结合最新临床循证证据制订了《前交叉韧带损伤临床诊疗循证指南》（2022版），旨在提高我国ACL损伤诊疗的规范化与标准化，为临床诊疗实践提供指导和帮助。
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备注信息
A
赵金忠，Email：
nc.defudabe.utjsoahzzj，电话：13917396491
B
所有作者参与资料收集、论文讨论及修改；蒋佳、乔义、赵松：论文撰写
C
白伦浩, 陈疾忤, 陈坚, 等. 前交叉韧带损伤临床诊疗循证指南（2022版）[J]. 中华创伤杂志, 2022, 38(6): 492-503. DOI: 10.3760/cma.j.cn501098-20220314-00185.
D
所有作者声明不存在利益冲突
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