早期肩峰撞击综合征关节镜下肩峰减压术与非手术治疗效果比较的Meta分析

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Abstract Objective To compare the eficiency of arthroscopic decompression and non-surgical treatment for early stage shoulder impingement syndrome. Methods PubMed, Embase, Cochrane Library, CNKI, Wanfang and other databases were searched by computer (search time was from the establishment of the database to 2021-05-02) for clinical randomized controlled studies comparing non-surgical treatment with arthroscopic acromial decompression in the treatment of early acromial impaction syndrome. Meta-analysis was performed by using Review Manager 5.3 software after rigorous quality evaluation. The evaluation indexes were shoulder pain score and shoulder function score, and the results of meta-analysis were divided into short-term subgroup (<2 years) and long-term subgroup (≥2 years). Results Seven randomized controlled trials (RCTs) were included, involving a total of 607 patients. There were no significant differences in shoulder function scores between arthroscopic decompression and non-surgical treatment whether in long-term group(SMD=0.30;95%CI:－0.06--0.66;P=0.10) or short-term follow-up subgroup(SMD= 0.12;95%CI:－0.18-0.43;P=0.42). There were no significant differences in shoulder pain scores either whether in long-term group(SMD= －0.12;95% CI:－0.39-0.15;P=0.38) or short-term follow-up subgroup(SMD= －0.06;95%CI:－0.28-0.17;P=0.62). Conclusions No significant difference is demonstrated in the treatment of early stage shoulder impingement syndrome between arthroscopic decompression and non-surgical treatment in the Meta-analysis, thus non-surgical treatment should be chosen firstly for patients with early stage shoulder impingement syndrome.

Received: 20 March 2022

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	LIU Shujing
	YU Yingying
	LU Yao
	WANG Bo
	WANG Hao

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LIU Shujing,YU Yingying,LU Yao等. Meta-analysis of arthroscopic decompression and non-surgical treatment for early stage shoulder impingement syndrome[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(10): 889-894.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I10/889

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