肩峰下撞擊綜合征治療:關節(jié)鏡下肩峰減壓與開放性手術的系統(tǒng)評價
發(fā)布時間:2018-04-22 21:18
本文選題:肩峰 + 肩撞擊綜合征。 參考:《新疆醫(yī)科大學》2015年碩士論文
【摘要】:目的:系統(tǒng)評價關節(jié)鏡下肩峰下減壓術與開放性手術治療肩峰下撞擊綜合征的療效。方法:計算機檢索國內(nèi)外各數(shù)據(jù)庫自建庫以來關于關節(jié)鏡下肩峰下減壓術與開放性手術治療肩峰下撞擊綜合征的對照試驗。不限語種,無論是否為RCTs或是否使用盲法。采用RevMan 5.0軟件進行Meta分析。結(jié)果:最終納入10個對照試驗,其中隨機對照試驗4篇,非隨機對照試驗6篇,共583例肩峰下撞擊綜合征患者。Meta分析結(jié)果顯示在住院天數(shù)及恢復工作時間方面,關節(jié)鏡組均少于開放手術組;而在術后肩功能評分、手術時間、患者滿意度、術后加利福尼亞大學洛杉磯評分標準(UCLAs)優(yōu)良率方面,兩組差異無顯著性意義。結(jié)論:由于納入的研究在數(shù)量和質(zhì)量上有一定的限制和不足,尚需開展更多大樣本、多中心、高質(zhì)量的隨機對照試驗加以驗證。
[Abstract]:Objective: to systematically evaluate the efficacy of arthroscopic sub acromial decompression and open operation for the treatment of sub acromial impingement syndrome. Methods: a comparative trial of the various databases at home and abroad on arthroscopic sub acromial decompression and open operation for the treatment of sub acromial impingement syndrome has been evaluated by computer. Ts or whether a blind method was used. Meta analysis was performed with RevMan 5 software. Results: 10 controlled trials were finally included, including 4 randomized controlled trials and 6 non randomized controlled trials. A total of 583 patients with sub acromion syndrome with.Meta analysis showed that the number of days of hospitalization and the recovery time were less than those in the open operation group. The two groups had no significant difference in postoperative shoulder function score, operation time, patient satisfaction, and the Losangeles Losangeles scoring standard (UCLAs). Conclusion: more large samples, multicentre and high quality were needed because of the limitations and deficiencies in the quantity and quality of the included studies. The control test was used to verify it.
【學位授予單位】:新疆醫(yī)科大學
【學位級別】:碩士
【學位授予年份】:2015
【分類號】:R687.4
【參考文獻】
相關期刊論文 前1條
1 張春剛;王衛(wèi)明;趙德偉;劉宇鵬;張耀;李瑞欣;于曉兵;;肩袖部分撕裂的關節(jié)鏡治療[J];中國骨與關節(jié)損傷雜志;2010年07期
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