程聪;任士友;陈鹏;江长青;张文涛;

• 1:安徽医科大学北京大学深圳医院临床学院
• 2:北京大学深圳医院运动医学与康复科

摘要(Abstract)：

[目的]运用Meta分析对LARS韧带与自体肌腱重建前交叉韧带的疗效进行对比,为临床治疗方案的选择提供参考依据。[方法]运用计算机检索Pub Med,Springer Link,EMBASE,the Cochrane Library,Medline,Science Direct,中国知识资源总库、万方数据库、维普数据库等电子数据库,检索时限定为:1980年1月~2015年11月,收集关于手术与非手术治疗肱骨近端骨折疗效对比的临床试验,依照确定的纳入与排除标准筛选出合格的文献并对其质量进行评价,然后运用Rev Man 5.2软件整合各个研究的临床观察指标进行统计学分析。[结果]共纳入8篇文献,390例患者,LARS组患者181例,自体肌腱组患者209例。Meta分析显示,在Lysholm评分、Tegner评分以及膝关节稳定性方面,两组之间的差异具有统计学意义,LARS组优于自体肌腱组(P<0.05);在IKDC评分方面,两组之间的差异无统计学意义(P>0.05)。在术后并发症发生率方面,LARS组较自体肌腱组低(P<0.05)。[结论]与自体肌腱重建前交叉韧带相比,LARS韧带能给患者带来更好的临床功能以及关节稳定性,同时也减少了术后并发症的发生。由于样本量的局限,本研究的结论仍需更多高质量的临床对照研究来进行验证。

关键词(KeyWords)： 自体肌腱;LARS;治疗;前交叉韧带;Meta分析

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 程聪;任士友;陈鹏;江长青;张文涛;

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DOI:

参考文献(References)：

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