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[1]許偉斌,孫哲思,林海青,等.關(guān)節(jié)鏡手術(shù)與開放手術(shù)治療慢性踝關(guān)節(jié)外側(cè)不穩(wěn)的臨床療效和安全性Meta分析[J].中醫(yī)正骨,2021,33(11):45-49.
 XU Weibin,SUN Zhesi,LIN Haiqing,et al.Clinical curative effects and safety of arthroscopic surgery versus open surgery for treatment of chronic lateral ankle instability:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(11):45-49.
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關(guān)節(jié)鏡手術(shù)與開放手術(shù)治療慢性踝關(guān)節(jié)外側(cè)不穩(wěn)的臨床療效和安全性Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年11期
頁碼:
45-49
欄目:
文獻(xiàn)研究
出版日期:
2021-11-20

文章信息/Info

Title:
Clinical curative effects and safety of arthroscopic surgery versus open surgery for treatment of chronic lateral ankle instability:a meta-analysis
作者:
許偉斌孫哲思林海青賈少華
(嘉興市第二醫(yī)院,浙江 嘉興 314001)
Author(s):
XU WeibinSUN ZhesiLIN HaiqingJIA Shaohua
The Second Hospital of Jiaxing City,Jiaxing 314001,Zhejiang,China
關(guān)鍵詞:
關(guān)節(jié)鏡 慢性踝關(guān)節(jié)外側(cè)不穩(wěn) Meta分析 系統(tǒng)評價
Keywords:
arthroscopes chronic lateral instability of the ankle joint meta-analysis systematic review
摘要:
目的:比較關(guān)節(jié)鏡手術(shù)與開放手術(shù)治療慢性踝關(guān)節(jié)外側(cè)不穩(wěn)的臨床療效和安全性。方法:應(yīng)用計算機(jī)檢索中國知網(wǎng)、萬方數(shù)據(jù)庫、Pubmed、Cochrane library及Embase,搜集關(guān)節(jié)鏡手術(shù)(關(guān)節(jié)鏡組)與開放手術(shù)(開放手術(shù)組)治療慢性踝關(guān)節(jié)外側(cè)不穩(wěn)的對比研究文獻(xiàn),檢索時限均為建庫至2020年4月。文獻(xiàn)檢索、篩選、數(shù)據(jù)提取及偏倚風(fēng)險評價后,采用RevMan5.3軟件對踝關(guān)節(jié)疼痛視覺模擬量表(visual analogue scale,VAS)評分、美國足與踝關(guān)節(jié)協(xié)會(American Orthopedic Foot and Ankle Society,AOFAS)踝與后足評分、Karlsson踝關(guān)節(jié)評分、距骨傾斜角、前抽屜試驗及并發(fā)癥發(fā)生率進(jìn)行Meta分析。結(jié)果:共納入6篇文獻(xiàn),其中隨機(jī)對照試驗文獻(xiàn)1篇、非隨機(jī)對照試驗文獻(xiàn)5篇。Meta分析結(jié)果顯示,術(shù)后2組患者踝關(guān)節(jié)疼痛VAS評分、AOFAS踝與后足評分、Karlsson踝關(guān)節(jié)評分、距骨傾斜角、前抽屜試驗及并發(fā)癥發(fā)生率的組間差異均無統(tǒng)計學(xué)意義[I2=74%,SMD=-0.43,95%CI(-1.09,0.23),P=0.210; I2=0%,SMD=0.26,95%CI(-0.02,0.55),P=0.070; I2=68%,SMD=0.17,95%CI(-0.35,0.69),P=0.520; I2=0%,SMD=0.13,95%CI(-0.24,0.50),P=0.480; I2=0%,SMD=-0.07,95%CI(-0.42,0.28),P=0.710; I2=0%,OR=0.53,95%CI(0.15,1.91),P=0.330]。結(jié)論:現(xiàn)有的證據(jù)表明,關(guān)節(jié)鏡手術(shù)與開放手術(shù)治療慢性踝關(guān)節(jié)外側(cè)不穩(wěn)的臨床療效及安全性相當(dāng)。
Abstract:
Objective:To compare the clinical curative effects and safety of arthroscopic surgery versus open surgery in treatment of chronic lateral ankle instability(CLAI).Methods:All articles about arthroscopic surgery(arthroscopic surgery group)versus open surgery(open surgery group)for treatment of CLAI included from database establishing to April 2020 were retrieved from China National Knowledge Internet,WanFang Database,Pubmed,Cochrane Library and Embase through computer.The articles were retrieved and screened,the information was extracted and the bias risk of included researches in the articles was assessed,followed by Meta-analysis on ankle pain visual analogue scale(VAS)score,American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot score,Karlsson ankle score,talar tilt angle(TTA),anterior drawer test(ADT)and complication incidence by using RevMan5.3 software.Results:Six articles were included in the final analysis,including 1 randomized controlled trial(RCT)article and 5 non-RCT articles.The results of Meta-analysis demonstrated that there was no statistical difference in ankle pain VAS score,AOFAS ankle-hindfoot score,Karlsson ankle score,TTA,ADT and complication incidence between the 2 groups after the surgery(I2=74%,SMD=-0.43,95%CI(-1.09,0.23),P=0.210; I2=0%,SMD=0.26,95%CI(-0.02,0.55),P=0.070; I2=68%,SMD=0.17,95%CI(-0.35,0.69),P=0.520; I2=0%,SMD=0.13,95%CI(-0.24,0.50),P=0.480; I2=0%,SMD=-0.07,95%CI(-0.42,0.28),P=0.710; I2=0%,OR=0.53,95%CI(0.15,1.91),P=0.330).Conclusion:Available evidences suggest that the arthroscopic surgery is similar to open surgery in clinical curative effects and safety in treatment of CLAI.

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備注/Memo

備注/Memo:
基金項目:嘉興市科技計劃項目(2017AY33026)
更新日期/Last Update: 1900-01-01