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[1]彭德強(qiáng),林志東,鐘禮倫,等.全膝關(guān)節(jié)置換術(shù)與關(guān)節(jié)鏡下滑膜切除術(shù)治療晚期膝關(guān)節(jié)色素沉著絨毛結(jié)節(jié)性滑膜炎的Meta分析[J].中醫(yī)正骨,2022,34(01):50-55.
　PENG Deqiang,LIN Zhidong,ZHONG Lilun,et al.Comparison of total knee arthroplasty and arthroscopic synovectomy for treatment of terminal knee pigmented villonodular synovitis:a meta analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(01):50-55.
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全膝關(guān)節(jié)置換術(shù)與關(guān)節(jié)鏡下滑膜切除術(shù)治療晚期膝關(guān)節(jié)色素沉著絨毛結(jié)節(jié)性滑膜炎的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年01期
頁碼:
50-55
欄目:
文獻(xiàn)研究
出版日期:
2022-01-20

文章信息/Info

Title:
Comparison of total knee arthroplasty and arthroscopic synovectomy for treatment of terminal knee pigmented villonodular synovitis:a meta analysis
作者:
彭德強(qiáng)1; 林志東1; 鐘禮倫1; 牛維2
(1.廣州中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院,廣東 廣州 510405; 2.廣東省中醫(yī)院,廣東 廣州 510120)
Author(s):
PENG Deqiang1; LIN Zhidong2; ZHONG Lilun2; NIU Wei2
1.The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong,China;2.Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,Guangdong,China
關(guān)鍵詞:
滑膜炎; 色素絨毛結(jié)節(jié)性;  膝關(guān)節(jié);  關(guān)節(jié)成形術(shù); 置換; 膝;  滑膜切除術(shù);  關(guān)節(jié)鏡檢查;  專題Meta分析
Keywords:
synovitis; pigmented villonodular;  knee joint;  arthroplasty; replacement; knee;  synovectomy;  arthroscopy;  Meta-analysis as topic
摘要:
目的:評價全膝關(guān)節(jié)置換術(shù)(total knee arthroplasty,TKA)與關(guān)節(jié)鏡下滑膜切除術(shù)(arthroscopic synovectomy,AS)治療晚期膝關(guān)節(jié)色素沉著絨毛結(jié)節(jié)性滑膜炎(pigmented villonodular synovitis,PVNS)的臨床療效和安全性。方法:以“色素沉著絨毛結(jié)節(jié)性滑膜炎”“關(guān)節(jié)鏡”“膝關(guān)節(jié)置換”為中文檢索詞,以“pigmented villonodular synovitis”“arthroscope”“endoscopes”“total knee arthroplasty”“knee replacement arthroplasties ”“replacement,total knee”“knee arthroplasty”為英文檢索詞,以計(jì)算機(jī)檢索為主,手工檢索、
Abstract:
Objective:To evaluate the curative effect and safety of total knee arthroplasty(TKA)versus arthroscopic synovectomy(AS)for treatment of terminal knee pigmented villonodular synovitis(PVNS).Methods:All clinical trial articles about TKA and AS for treatment of terminal knee PVNS included from database establishing to February 2021 were retrieved from China national knowledge internet,VIP Database,WanFang Data,Pubmed,Embase and the Cochrane Library through computer assisted by manual retrieval and reference retrospection.The logical combination of“色素沉著絨毛結(jié)節(jié)性滑膜炎”“關(guān)節(jié)鏡”and“膝關(guān)節(jié)置換”were used as Chinese index terms,and the logical combination of pigmented villonodular synovitis,arthroscope,endoscopes,total knee arthroplasty,knee replacement arthroplasties,replacement,total knee and knee arthroplasty as the English index terms.The articles were screened and the information was extracted.The methodological quality of research in the articles was evaluated and a Meta-analysis was conducted.Results:Thirty-six articles were searched out,including 29 Chinese articles and 7 English articles.After screening,8 Chinese articles were included in the final analysis.The results of Meta-analysis revealed that the Lysholm scores were higher,the knee range of motion was greater and the recurrence rate of PVNS was lower in TKA group compared to AS group(I2=3%,P=0.310,MD=7.93,95%CI(5.72,10.13),P=0.000; I2=19%,P=0.300,MD=27.93,95%CI(25.36,30.50),P=0.000; I2=0%,P=0.940,OR=0.14,95%CI(0.04,0.53),P=0.004).There was no statistical difference in incidence rate of complications between the two groups(I2=0%,P=0.970,OR=0.49,95%CI(0.23,1.04),P=0.060).Conclusion:TKA surpasses AS in relieving knee pain,improving knee function and decreasing recurrence rate of PVNS for treatment of terminal knee PVNS,however,they are similar to each other in incidence rate of complications.

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備注/Memo

備注/Memo:
基金項(xiàng)目:國家自然科學(xué)基金項(xiàng)目(81473700)
通訊作者:牛維 E-mail:[email protected]
更新日期/Last Update: 1900-01-01