[1]彭德强,林志东,钟礼伦,等.全膝关节置换术与关节镜下滑膜切除术治疗晚期膝关节色素沉着绒毛结节性滑膜炎的Meta分析[J].中医正骨,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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全膝关节置换术与关节镜下滑膜切除术治疗晚期膝关节色素沉着绒毛结节性滑膜炎的Meta分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年01期
页码:
50-55
栏目:
文献研究
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:
彭德强1; 林志东1; 钟礼伦1; 牛维2
(1.广州中医药大学第二临床医学院,广东 广州 510405; 2.广东省中医院,广东 广州 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
关键词:
滑膜炎; 色素绒毛结节性;  膝关节;  关节成形术; 置换; 膝;  滑膜切除术;  关节镜检查;  专题Meta分析
Keywords:
synovitis; pigmented villonodular;  knee joint;  arthroplasty; replacement; knee;  synovectomy;  arthroscopy;  Meta-analysis as topic
摘要:
目的:评价全膝关节置换术(total knee arthroplasty,TKA)与关节镜下滑膜切除术(arthroscopic synovectomy,AS)治疗晚期膝关节色素沉着绒毛结节性滑膜炎(pigmented villonodular synovitis,PVNS)的临床疗效和安全性。方法:以“色素沉着绒毛结节性滑膜炎”“关节镜”“膝关节置换”为中文检索词,以“pigmented villonodular synovitis”“arthroscope”“endoscopes”“total knee arthroplasty”“knee replacement arthroplasties ”“replacement,total knee”“knee arthroplasty”为英文检索词,以计算机检索为主,手工检索、
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“色素沉着绒毛结节性滑膜炎”“关节镜”and“膝关节置换”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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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81473700)
通讯作者:牛维 E-mail:niuwei@139.com
更新日期/Last Update: 1900-01-01