菅永志;方钦正;李珂;顾培伦;李瑞阳;吕燕敏;董金波;

• 1:石河子大学第一附属医院骨科中心
• 2:石河子大学第一附属医院肿瘤科
• 3:石河子大学第一附属医院病理科

摘要(Abstract)：

[目的]系统性评价肩峰成形术在关节镜下肩袖修复过程中的临床疗效。[方法]计算机检索Pubmed、Embase、Cochrane Library、Web of Science,CBM、CNKI、VIP和万方数据库,检索时间从建库至2018年3月10日。检索肩袖修复与肩峰成形治疗肩袖损伤的随机对照试验(RCT),比较两组患者Constant评分、ASES评分、UCLA评分、VAS评分和再手术率。应用RevMan 5.3统计学软件进行分析。[结果]共纳入7篇RCTs,共586例肩袖修复病例,其中肩峰成形组301例,非肩峰成形组285例。Meta分析结果显示,肩峰成形组的Constant评分显著高于非肩峰成形组,差异有统计学意义(WMD=2.98,95%CI 0.87～5.09,P=0.006);随访12个月时,肩峰成形组VAS评分显著低于非肩峰成形组,差异有统计学意义(WMD=-0.61,95%CI-0.85～0.36,P=0.003),前者再手术率也显著低于后者,差异有统计学意义(RR=0.14,95%CI 0.03～0.62,P=0.010)。但两组在ASES评分和UCLA评分方面的差异均无统计学意义(P>0.05)。[结论]对于肩袖损伤的患者,肩关节镜手术中行肩峰成形术在Constant评分、再手术率方面优于不做肩峰成形组。

关键词(KeyWords)： 关节镜术;肩袖修复;肩峰成形;荟萃分析

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 菅永志;方钦正;李珂;顾培伦;李瑞阳;吕燕敏;董金波;

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参考文献(References)：

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