前交叉韧带损伤自体韧带重建残端保留与不保留临床疗效的Meta分析

发布时间：2018-06-04 00:18

本文选题：前交叉韧带 + 残端　；参考：《中国矫形外科杂志》2017年18期

【摘要】：[目的]通过Meta分析比较前交叉韧带(anterior cruciate ligament,ACL)损伤自体韧带重建残端保留与不保留临床疗效的差异。[方法]检索并收集2000年1月~2016年10月公开发表在Pubmed、Cochrane图书馆、Springer Link、万方数据库、中国知网(CNKI)以及中文科技期刊全文数据库(VIP)关于交叉韧带损伤自体韧带重建残端保留与不保留临床疗效比较的文章,严格按照纳入和排除标准及文献质量评分标准收集数据,运用Review Manager 5.3统计学软件对所提取的文献数据进行meta分析。[结果]共纳入15篇文献。Meta分析显示:前交叉韧带损伤自体韧带重建残端保留术对患者膝关节的客观稳定性KT-1000/2000测量[MD=-0.21,95%CI(-0.25,-0.16),P0.01]、早期本体感觉恢复[MD=-0.72,95%CI(-1.16,-0.28),P0.01]、后期本体感觉恢复[MD=-0.45,95%CI(-0.66,-0.25),P0.01]明显好于非保留组;主观满意度Lysholm评分[MD=0.20,95%CI(-0.13,0.53),P=0.24]、Cyclops病发生率[RR=1.12,95%CI(0.36,3.52),P=0.84]、手术时间[MD=-4.49,95%CI(-38.85,29.88),P=0.80]两种手术差异有统计学意义。[结论]前交叉韧带损伤自体韧带重建残端保留术对患者膝关节的客观稳定性,早、远期本体感觉恢复有明显的促进作用;保留与不保留术对患者的主观满意度、Cyclops病发生率、手术时间没有明显影响。
[Abstract]:[objective] to compare the clinical effects of anterior cruciate ligamentum (ACL) injury with or without autologous ligament reconstruction by Meta analysis. [methods] the database of Springer Link. published in the Pubmedan Cochrane Library from January 2000 to October 2016 was retrieved and collected. CNKI and the full text Database of Chinese Journal of Science and Technology (VIP). The articles on the clinical efficacy of preserving and not retaining the residual end of autogenous ligament reconstruction after cruciate ligament injury were collected in strict accordance with the inclusion and exclusion criteria and the literature quality scoring standard. Review Manager 5.3 statistical software was used to analyze the collected literature data by meta. [results] A total of 15 papers. Meta-analysis showed that the objective stability of the patients with anterior cruciate ligament injury was measured by KT-1000/2000 [MD-0.21V 95CI-0.25CI-0.16P0.01], early proprioceptive recovery [MD-0.72C95 CI-1.16-0.28P0.01], and the recovery of proprioceptive sensation in the later stage [MD-0.45-95CI-0.66U -0.25P0.01]. It was better than non-reservation group. The incidence of Cyclops' disease was 0.36 / 3.52 / 0.84, and the operative time was significantly different between the two types of operations [MD-4.49 / 95 CI-38.85.29.88 / 0.80] (P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.24, P = 0.84, P = 0.34, P = 0.84, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80, P = 0.80). [conclusion] the preservation of autogenous ligament reconstruction with anterior cruciate ligament injury can significantly promote the recovery of the knee joint, early and long term proprioceptive sensation, and the incidence of Cyclops disease in patients' subjective satisfaction with preservation or non-preservation. The operative time was not significantly affected.
【作者单位】：山西医科大学第二临床医院骨与软组织损伤修复山西省重点实验室;
【基金】：国家自然科学基金青年科学基金(编号:81601949)
【分类号】：R686.5

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