全肩關節鏡與關節鏡輔助下小切口治療肩袖損傷的Meta分析_《中國循證醫學雜志》

作者：

王義雋 ,  宋玉成 , 方銳 , 孟慶才 , 加亨 , 洪漢剛

新疆維吾爾自治區中醫院關節外科（烏魯木齊 830000）;

關鍵詞：

肩袖損傷關節鏡小切口系統評價 Meta分析

DOI：

10.7507/1672-2531.20100573

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　采用Meta分析方法比較全肩關節鏡與關節鏡輔助下小切口治療肩袖損傷的臨床療效。
方法　計算機檢索MEDLINE（1966.6～2008.12）、EMbase（1966.6～2008.12）、Cochrane圖書館（2008年第2期）、Cochrane協作網肌骨創傷組試驗數據庫（2008年第2期）和中國生物醫學文獻數據庫（1979.6～2008.12），手工檢索近5年國內已發表的有關骨科論文及會議資料。收集所有隨機對照試驗（RCT）及非隨機對照試驗，評價納入研究的方法學質量后，采用Cochrane協作網提供的RevMan 4.2.8軟件進行Meta分析。
結果　未檢索到RCT，共納入12個非隨機對照試驗。Meta分析結果顯示：與小切口組相比，全肩關節鏡組手術治療肩袖損傷術后疼痛較輕，其差異有統計學意義［RR=0.94，95%CI（0.28，1.60）］；但在肩關節活動范圍-前屈［RR=0.17，95%CI（–0.10，0.45）］、肩關節功能評分［RR=0.04，95%CI（–0.10，0.19）］、病人滿意度［RR=1.03，95%CI（0.98，1.08）］及術后并發癥［RR=1.11，95%CI（0.54，2.27）］等方面，兩組療效差異無統計學意義。
結論　與關節鏡輔助下小切口手術相比，全肩關節鏡手術治療肩袖損傷術后疼痛較輕，而兩種治療方法在肩關節活動范圍、肩關節功能評分、病人滿意度及術后并發癥方面，療效基本相同。

引用本文： 王義雋,宋玉成,方銳,孟慶才,加亨,洪漢剛. 全肩關節鏡與關節鏡輔助下小切口治療肩袖損傷的Meta分析. 中國循證醫學雜志, 2010, 10(10): 1222-1227. doi: 10.7507/1672-2531.20100573 復制

1.	Nho SJ, Shindle MK, Sherman SL, et al. Systematic Review of Arthroscopic Rotator Cuff Repair and Mini-Open Rotator Cuff Repair. J Bone Joint Surg Am, 2007, 89: 127-136.
2.	Weber S, Kauffman J. Arthroscopic versus mini-open repair in the treatment of rotator cuff tears. Abstract (unpublished data, AANA, 2004).
3.	Köse KC, Tezen E, Cebesoy O, et al. Mini-open versus all-arthroscopic rotator cuff repair: comparison of the operative costs and the clinical outcomes. Adv Ther, 2008, 25(3): 249-259.
4.	Pearsall AW 4th, Ibrahim KA, Madanagopal SG. The results of arthroscopic versus mini-open repair for rotator cuff tears at mid-term follow-up. J Orthop Surg Res, 2007, 2: 24.
5.	Sauerbrey AM, Getz CL, Piancastelli M, et al, Arthroscopic versus mini-open rotator cuff repair: a comparison of clinical outcome. Arthroscopy, 2005, 21(12): 1415-1420.
6.	Kang L, Henn RF, Tashjian RZ, et al. Early outcome of arthroscopic rotator cuff repair: a matched comparison with mini-open rotator cuff repair. Arthroscopy, 2007, 23(6): 573-582.
7.	Kim SH, Ha KI, Park JH, et al. Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years’ follow-up. Arthroscopy, 2003, 19(7): 746-754.
8.	Warner JJ, Tétreault P, Lehtinen J, et al. Arthroscopic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy, 2005, 21(3): 328-332.
9.	Youm T, Murray DH, Kubiak EN, et al. Arthroscopic versus mini-open rotator cuff repair: a comparison of clinical outcomes and patient satisfaction. J Shoulder Elbow Surg, 2005, 14: 455-459.
10.	Verma NN, Dunn W, Adler RS, et al. All-arthroscopic versus mini-open rotator cuff repair: a retrospective review with minimum 2-year follow-up. Arthroscopy, 2006, 2(6): 587-594.
11.	Severud EL, Ruotolo C, Abbott DD, et al. All-arthroscopic versus mini-open rotator cuff repair: A long-term retrospective outcome comparison. Arthroscopy, 2003, 19(3): 234-238.
12.	Musil D, Sadovský P, Stehlík J. Massive tears of rotator cuff - comparison of mini-open and arthroscopic techniques. Part 1. Mini-open technique. Acta Chir Orthop Traumatol Cech, 2006, 73(6): 387-393.
13.	Musil D, Sadovský P. Massive tears of the rotator cuff--comparison of mini-open and arthroscopic techniques. Part 2. Arthroscopic repair. Acta Chir Orthop Traumatol Cech, 2007, 74(5): 318-325.
14.	Concato J, Shah N, Horwitz RI. Randomized, controlled trials, observational studies, and the hierarchy of research designs. N Engl J Med, 2000, 342(25): 1887-1892.
15.	Bagshaw SM, Bellomo R. The need to reform our assessment of evidence from clinical trials: A commentary. Philosophy, Ethics, and Humanities in Medicine, 2008, 3: 23.

1. Nho SJ, Shindle MK, Sherman SL, et al. Systematic Review of Arthroscopic Rotator Cuff Repair and Mini-Open Rotator Cuff Repair. J Bone Joint Surg Am, 2007, 89: 127-136.
2. Weber S, Kauffman J. Arthroscopic versus mini-open repair in the treatment of rotator cuff tears. Abstract (unpublished data, AANA, 2004).
3. Köse KC, Tezen E, Cebesoy O, et al. Mini-open versus all-arthroscopic rotator cuff repair: comparison of the operative costs and the clinical outcomes. Adv Ther, 2008, 25(3): 249-259.
4. Pearsall AW 4th, Ibrahim KA, Madanagopal SG. The results of arthroscopic versus mini-open repair for rotator cuff tears at mid-term follow-up. J Orthop Surg Res, 2007, 2: 24.
5. Sauerbrey AM, Getz CL, Piancastelli M, et al, Arthroscopic versus mini-open rotator cuff repair: a comparison of clinical outcome. Arthroscopy, 2005, 21(12): 1415-1420.
6. Kang L, Henn RF, Tashjian RZ, et al. Early outcome of arthroscopic rotator cuff repair: a matched comparison with mini-open rotator cuff repair. Arthroscopy, 2007, 23(6): 573-582.
7. Kim SH, Ha KI, Park JH, et al. Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years’ follow-up. Arthroscopy, 2003, 19(7): 746-754.
8. Warner JJ, Tétreault P, Lehtinen J, et al. Arthroscopic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy, 2005, 21(3): 328-332.
9. Youm T, Murray DH, Kubiak EN, et al. Arthroscopic versus mini-open rotator cuff repair: a comparison of clinical outcomes and patient satisfaction. J Shoulder Elbow Surg, 2005, 14: 455-459.
10. Verma NN, Dunn W, Adler RS, et al. All-arthroscopic versus mini-open rotator cuff repair: a retrospective review with minimum 2-year follow-up. Arthroscopy, 2006, 2(6): 587-594.
11. Severud EL, Ruotolo C, Abbott DD, et al. All-arthroscopic versus mini-open rotator cuff repair: A long-term retrospective outcome comparison. Arthroscopy, 2003, 19(3): 234-238.
12. Musil D, Sadovský P, Stehlík J. Massive tears of rotator cuff - comparison of mini-open and arthroscopic techniques. Part 1. Mini-open technique. Acta Chir Orthop Traumatol Cech, 2006, 73(6): 387-393.
13. Musil D, Sadovský P. Massive tears of the rotator cuff--comparison of mini-open and arthroscopic techniques. Part 2. Arthroscopic repair. Acta Chir Orthop Traumatol Cech, 2007, 74(5): 318-325.
14. Concato J, Shah N, Horwitz RI. Randomized, controlled trials, observational studies, and the hierarchy of research designs. N Engl J Med, 2000, 342(25): 1887-1892.
15. Bagshaw SM, Bellomo R. The need to reform our assessment of evidence from clinical trials: A commentary. Philosophy, Ethics, and Humanities in Medicine, 2008, 3: 23.

《中國循證醫學雜志》

全肩關節鏡與關節鏡輔助下小切口治療肩袖損傷的Meta分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

《中國循證醫學雜志》

全肩關節鏡與關節鏡輔助下小切口治療肩袖損傷的Meta分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料