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作 者:贺权 杨自权[2] HE Quan;YANG Ziquan(Department of Second Clinical Medical College,Shanxi Medical University,Taiyuan,Shanxi 030001,China;Department of Orthopedics,the Second Hospital of Shanxi Medical University,Taiyuan,Shanxi 030001,China)
机构地区:[1]山西医科大学第二临床医学院,太原030001 [2]山西医科大学第二医院骨科,太原030001
出 处:《重庆医学》2023年第6期902-905,912,共5页Chongqing medicine
基 金:国家自然科学基金项目(30973048);山西省自然科学基金项目(201705D211022);山西省研究生教育创新项目(2021Y393)。
摘 要:目的通过meta分析比较肩袖损伤后关节镜下无结缝线桥固定术和有结缝线桥固定术的疗效差异。方法按照纳入标准和排除标准检索收集Medline、Embase、Cochrane图书馆、中国知网、万方等数据库从建库至2021年7月肩袖损伤后无结缝线桥固定术和有结缝线桥固定术临床效果的各项研究,评价各研究方法的质量并进行meta分析,比较无结缝线桥固定术和有结缝线桥固定术治疗后肩关节前屈外旋活动度、Constant评分、美国肩肘外科医师学会(ASES)评分、美国加州大学肩关节量表(UCLA)评分、视觉模拟评分法(VAS)评分及肩袖损伤再撕裂发生情况的差异。结果共纳入7个回顾性队列研究和1个随机对照试验。meta分析结果显示,肩袖损伤后无结缝线桥固定术组和有结缝线桥固定术术后肩关节前屈活动度、肩关节外旋活动度、Constant评分、ASES评分、UCLA评分和肩袖再撕裂率比较,差异无统计学意义(P>0.05);无结缝线桥固定术比有结缝线桥固定术VAS评分更低,差异有统计学意义(P<0.05)。结论关节镜下无结缝线桥固定术和有结缝线桥固定术疗效无差异。Objective To compare the efficacy of arthroscopic knotless suture bridge fixation and knotted suture bridge fixation after shoulder cuff injury by meta-analysis,so as to guide clinical work.Methods According to the inclusion and exclusion criteria,various studies on the clinical effects of knotless suture bridging fixation and knotted suture bridging fixation after shoulder cuff injury from the database establishment to July 2021 in the databases of Medline,Embase,Cochrane library,China National Knowledge Infrastructure,and Wanfang were searched and collected.The methodological quality of each study was evaluated,and meta-analysis was performed.The differences in the range of motion of shoulder flexion and external rotation,Constant score,American Academy of Shoulder and Elbow Surgeons(ASES)score,the university of California at Los Angeles shoulder rating scale(UCLA)score,visual analog scale(VAS)score,and shoulder cuff re-tear rate after treatment between the two groups of knotless suture bridging fixation and knotless suture bridging fixation were compared.Results A total of seven retrospective cohort studies and one randomized controlled trial were included in the study results.Meta-analysis showed that there was no statistical difference in the range of motion of shoulder flexion and external rotation,Constant score,ASES score,UCLA score and shoulder cuff re-tear rate between the two groups of knotless suture bridging fixation and knotless suture bridging fixation(P>0.05),but the VAS score after treatment was lower in the knotless group(P<0.05).Conclusion The efficacy difference between arthroscopic knotless suture bridge fixation and knotted suture bridge fixation after shoulder cuff injury is not significant.
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