蔡喜雨;裴国献;李方国;王丹;王磊;

• 1:南方医科大学南方医院创伤骨科
• 2:第四军医大学西京医院骨科

摘要(Abstract)：

[目的]评价关节镜下自体4股腘绳肌腱双束与单束重建前交叉韧带的临床效果。[方法]计算机检索CENTRAL、PubMed、Embase、CBM等数据库,获取自体4股腘绳肌腱移植双束与单束重建前交叉韧带的随机对照试验,根据Cochrane协作网推荐的随机对照试验偏倚评估工具对纳入研究的方法学进行评估,并使用RevMan 5.0对数据进行Meta分析。[结果]共纳入10篇文献,693例前交叉韧带损伤患者纳入Meta分析,结果显示:双束重建组术后KT2000或KT1000测量值与单束重建组的差异有统计学意义(SMD=-0.27,95%CI(-0.53,-0.01),P=0.04);轴移试验阴性(RR=1.35,95%CI(1.16,1.56),P<0.000 1)、弱阳性(RR=0.37,95%CI(0.18,0.74),P=0.005)、阳性(RR=0.17,95%CI(0.06,0.66),P=0.01)的差异均有统计学意义。功能评分中IKDC主观评分(SMD=0.03,95%CI(-0.21,0.28),P=0.79)和Lysholm评分(SMD=-0.25,95%CI(-0.53,0.02),P=0.07)均无统计学意义。[结论]自体4股腘绳肌腱双束重建前交叉韧带在恢复膝关节的前直向稳定性和旋转稳定性方面优于单束重建;但功能评分相似。

关键词(KeyWords)： 前交叉韧带;重建;双束;单束;系统评价;meta分析

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 蔡喜雨;裴国献;李方国;王丹;王磊;

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参考文献(References)：

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