發(fā)布時(shí)間：2018-06-04 00:18

  本文選題：前交叉韌帶 + 殘端　； 參考：《中國(guó)矯形外科雜志》2017年18期

【摘要】：[目的]通過Meta分析比較前交叉韌帶(anterior cruciate ligament,ACL)損傷自體韌帶重建殘端保留與不保留臨床療效的差異。[方法]檢索并收集2000年1月~2016年10月公開發(fā)表在Pubmed、Cochrane圖書館、Springer Link、萬(wàn)方數(shù)據(jù)庫(kù)、中國(guó)知網(wǎng)(CNKI)以及中文科技期刊全文數(shù)據(jù)庫(kù)(VIP)關(guān)于交叉韌帶損傷自體韌帶重建殘端保留與不保留臨床療效比較的文章,嚴(yán)格按照納入和排除標(biāo)準(zhǔn)及文獻(xiàn)質(zhì)量評(píng)分標(biāo)準(zhǔn)收集數(shù)據(jù),運(yùn)用Review Manager 5.3統(tǒng)計(jì)學(xué)軟件對(duì)所提取的文獻(xiàn)數(shù)據(jù)進(jìn)行meta分析。[結(jié)果]共納入15篇文獻(xiàn)。Meta分析顯示:前交叉韌帶損傷自體韌帶重建殘端保留術(shù)對(duì)患者膝關(guān)節(jié)的客觀穩(wěn)定性KT-1000/2000測(cè)量[MD=-0.21,95%CI(-0.25,-0.16),P0.01]、早期本體感覺恢復(fù)[MD=-0.72,95%CI(-1.16,-0.28),P0.01]、后期本體感覺恢復(fù)[MD=-0.45,95%CI(-0.66,-0.25),P0.01]明顯好于非保留組;主觀滿意度Lysholm評(píng)分[MD=0.20,95%CI(-0.13,0.53),P=0.24]、Cyclops病發(fā)生率[RR=1.12,95%CI(0.36,3.52),P=0.84]、手術(shù)時(shí)間[MD=-4.49,95%CI(-38.85,29.88),P=0.80]兩種手術(shù)差異有統(tǒng)計(jì)學(xué)意義。[結(jié)論]前交叉韌帶損傷自體韌帶重建殘端保留術(shù)對(duì)患者膝關(guān)節(jié)的客觀穩(wěn)定性,早、遠(yuǎn)期本體感覺恢復(fù)有明顯的促進(jìn)作用;保留與不保留術(shù)對(duì)患者的主觀滿意度、Cyclops病發(fā)生率、手術(shù)時(shí)間沒有明顯影響。
[Abstract]:[objective] to compare the clinical effects of anterior cruciate ligamentum (ACL) injury with or without autologous ligament reconstruction by Meta analysis. [methods] the database of Springer Link. published in the Pubmedan Cochrane Library from January 2000 to October 2016 was retrieved and collected. CNKI and the full text Database of Chinese Journal of Science and Technology (VIP). The articles on the clinical efficacy of preserving and not retaining the residual end of autogenous ligament reconstruction after cruciate ligament injury were collected in strict accordance with the inclusion and exclusion criteria and the literature quality scoring standard. Review Manager 5.3 statistical software was used to analyze the collected literature data by meta. [results] A total of 15 papers. Meta-analysis showed that the objective stability of the patients with anterior cruciate ligament injury was measured by KT-1000/2000 [MD-0.21V 95CI-0.25CI-0.16P0.01], early proprioceptive recovery [MD-0.72C95 CI-1.16-0.28P0.01], and the recovery of proprioceptive sensation in the later stage [MD-0.45-95CI-0.66U -0.25P0.01]. It was better than non-reservation group. The incidence of Cyclops' disease was 0.36 / 3.52 / 0.84, and the operative time was significantly different between the two types of operations [MD-4.49 / 95 CI-38.85.29.88 / 0.80] (P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.84, P = 0.34, P = 0.84, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80). [conclusion] the preservation of autogenous ligament reconstruction with anterior cruciate ligament injury can significantly promote the recovery of the knee joint, early and long term proprioceptive sensation, and the incidence of Cyclops disease in patients' subjective satisfaction with preservation or non-preservation. The operative time was not significantly affected.
【作者單位】： 山西醫(yī)科大學(xué)第二臨床醫(yī)院骨與軟組織損傷修復(fù)山西省重點(diǎn)實(shí)驗(yàn)室;
【基金】：國(guó)家自然科學(xué)基金青年科學(xué)基金(編號(hào):81601949)
【分類號(hào)】：R686.5

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本文編號(hào)：1974907