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

发布时间：2018-04-22 21:18

本文选题：肩峰 + 肩撞击综合征　；参考：《新疆医科大学》2015年硕士论文

【摘要】：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：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。结论：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。
[Abstract]:Objective: to systematically evaluate the efficacy of arthroscopic sub acromial decompression and open operation for the treatment of sub acromial impingement syndrome. Methods: a comparative trial of the various databases at home and abroad on arthroscopic sub acromial decompression and open operation for the treatment of sub acromial impingement syndrome has been evaluated by computer. Ts or whether a blind method was used. Meta analysis was performed with RevMan 5 software. Results: 10 controlled trials were finally included, including 4 randomized controlled trials and 6 non randomized controlled trials. A total of 583 patients with sub acromion syndrome with.Meta analysis showed that the number of days of hospitalization and the recovery time were less than those in the open operation group. The two groups had no significant difference in postoperative shoulder function score, operation time, patient satisfaction, and the Losangeles Losangeles scoring standard (UCLAs). Conclusion: more large samples, multicentre and high quality were needed because of the limitations and deficiencies in the quantity and quality of the included studies. The control test was used to verify it.

【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.4

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