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全关节镜与小切口修复肩袖撕裂损伤的荟萃分析 预览 被引量:4

All-arthroscopic rotator cuff repair versus mini-open for the treatment of rotator cuff injury: a Meta-analysis
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摘要 背景:对于全关节镜及小切口两种修复式的疗效比较,国内外尚有许多争议。目的:对全关节镜及小切口两种方法治疗肩袖损伤的疗效进行荟萃分析。方法:以"肩袖"、"关节镜"、"小切口"为检索词,计算机检索1966年1月至2015年11月PubMed,Embase,Cochrane图书馆和CBM,搜集所有的有关论研究。筛选并提取数据,采用Revman5.3软件进行荟萃分析。结果与结论:共纳入11例研究,其中6例随机对照研究,5例队列研究,荟萃分析显示这两组肩关节功能、疼痛、活动范围、肩袖再撕裂率、关节僵硬发生率以及肩关节力量差异均无显著性意义(P〉0.05)。分析结果显示,肩袖损伤的全关节镜及小切口修补后临床疗效没有明显差异,但是关节镜修复有更少的软组织损伤、早期切口疼痛更少及更快的功能恢复等潜在优势。 BACKGROUND: There are controversies about the efficacy of all-arthroscopic rotator cuff repair versus mini-open for the treatment of rotator cuff injury.OBJECTIVE: To evaluate the efficacy of all-arthroscopic rotator cuff repair versus mini-open for the treatment of rotator cuff injury by conducting a meta-analysis. METHODS: A computer-based online search was conducted in Pub Med, Embase, Cochrane Library and CBM databases from January 1966 to November 2015 to screen the relevant articles using the key words of "rotator cuff, arthroscopy, mini-open". Meta-analysis was performed using Revman5.3 software. RESULTS AND CONCLUSION: A total of 11 studies, including 6 randomized controlled trials and 5 cohort studies, were selected. The meta-analysis results showed that there were no significant differences in the function and strength of the shoulder joint, pain, motor range, recurrence of rotator cuff avulsion, the incidence rate of ankylosis between both two groups(P〉0.05). These results suggest that the efficacy of all- arthroscopic rotator cuff repair does not differ from those of mini-open for the treatment of rotator cuff injury. However, arthroscopic rotator cuff repair induces less soft tissue injury and early incision pain, but better function recovery.
作者 王毅 赵其纯 Wang Yi,Zhao Qi-chun(Second Department of Orthopedics, Anhui Provincial Hospital of Anhui Medical University, Hefei 230001, Anhui Province, China)
出处 《中国组织工程研究》 CAS 北大核心 2016年第20期3022-3031,共10页 Journal of Clinical Rehabilitative Tissue Engineering Research
关键词 关节镜 小切口 肩袖损伤 疗效 荟萃分析 组织构建 组织工程 Arthroscopes Treatment Outcome Meta-Analysis
作者简介 王毅,男,1991年生,安徽省合肥市人,汉族,安徽医科大学在读硕士,主要从事运动医学的研究。 通讯作者:赵其纯,博士,主任医师,硕士生导师,安徽医科大学附属省立医院骨二科,安徽省合肥市230001
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