中国组织工程研究 ›› 2014, Vol. 18 ›› Issue (46): 7538-7544.doi: 10.3969/j.issn.2095-4344.2014.46.031

• 组织构建循证医学 evidence-based medicine in tissue construction • 上一篇    

肩峰下撞击综合征治疗:关节镜下肩峰减压与开放性手术的系统评价

董 岩,张克远,孙学斌,李 纲,尼加提·阿不力米提,刘 阳   

  1. 新疆医科大学第一附属医院骨病.运动损伤科,新疆维吾尔自治区乌鲁木齐市 830054
  • 修回日期:2014-09-28 出版日期:2014-11-12 发布日期:2014-11-12
  • 通讯作者: 张克远,硕士,主任医师,新疆医科大学第一附属医院骨病.运动损伤科,新疆维吾尔自治区乌鲁木齐市 830054
  • 作者简介:董岩,男,1989年生,新疆维吾尔自治区乌鲁木齐市人,汉族,新疆医科大学在读硕士,主要从事关节镜与运动损伤相关疾病的研究。

Subacromial impingement syndrome: a systematic review of arthroscopic versus open subacromial decompression  

Dong Yan, Zhang Ke-yuan, Sun Xue-bin, Li Gang, Nijiati Abulimiti, Liu Yang   

  1. Department of Bone Disease or Sports Injuries, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • Revised:2014-09-28 Online:2014-11-12 Published:2014-11-12
  • Contact: Zhang Ke-yuan, Master, Chief physician, Department of Bone Disease or Sports Injuries, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • About author:Dong Yan, Studying for master’s degree, Department of Bone Disease or Sports Injuries, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China

摘要:

背景:关于肩峰下撞击综合征选择关节镜下肩峰下减压术还是开放性手术治疗,目前尚存争议。

目的:系统评价关节镜下肩峰下减压术与开放性手术治疗肩峰下撞击综合征的疗效。
方法:计算机检索国内外各数据库自建库以来关于关节镜下肩峰下减压术与开放性手术治疗肩峰下撞击综合征的对照试验。不限语种,无论是否为RCTs或是否使用盲法。采用RevMan 5.0软件进行Meta分析。
结果与结论:最终纳入10个对照试验,其中随机对照试验4篇,非随机对照试验6篇,共583例肩峰下撞击综合征患者。Meta分析结果显示在住院天数及恢复工作时间方面,关节镜组均少于开放手术组;而在术后肩功能评分、手术时间、患者满意度、术后加利福尼亚大学洛杉矶评分标准(UCLAs)优良率方面,两组差异无显著性意义。但由于纳入的研究在数量和质量上有一定的限制和不足,尚需开展更多大样本、多中心、高质量的随机对照试验加以验证。


中国组织工程研究
杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程


全文链接:

关键词: 组织构建, 组织工程, 关节镜下肩峰下减压术, 肩峰下撞击综合征, 肩关节, 系统评价, Meta分析, 随机对照试验

Abstract:

BACKGROUND: It is still disputed about the treatment of subacromial impingement syndrome at present, arthroscopic subacromial decompression or open subacromial decompression.

OBJECTIVE: To assess the clinical therapeutic effects of arthroscopic subacromial decompression versus open subacromial decompression in the treatment of subacromial impingement syndrome.
METHODS: Controlled trials on arthroscopic subacromial decompression versus open acromioplasty in the treatment of subacromial impingement syndrome were collected in different databases through computer search. There was no limitation for language, randomized controlled trials or blinded studies. At last, the meta-analysis was conducted by using RevMan5.0 software.
RESULTS AND CONCLUSION: Four randomized controlled trials and six non-randomized controlled trials were included in this study, involving 583 patients with subacromial impingement syndrome. The results of meta-analysis prompted that as to the hospital inpatient days and time until return to work, the group of arthroscopic subacromial decompression was shorter than open subacromial decompression. However, as to the postoperative shoulder functional scores, the operative time, patient’s satisfaction, and the rate of excellent and good results of postoperative UCLAs, there were no significant statistical differences between two groups. Due to the certain limitations and deficiencies of the quantity and quality in the included trials, there must still need large-sample, multi-centered, high-quality randomized controlled trials to confirm these results.


中国组织工程研究
杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程


全文链接:

Key words: acromion, shoulder impingement syndrome, arthroscopes

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