股骨髋臼撞击综合征非手术治疗与关节镜手术治疗效果比较的Meta分析

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摘要目的采用Meta分析对股骨髋臼撞击综合征患者采取关节镜手术治疗和非手术治疗的临床效果进行比较,为临床治疗股骨髋臼撞击综合征提供循证证据。方法检索 PubMed、Embase、 Cochrane 图书馆、中国知网、万方知网等数据库中比较非手术和关节镜手术治疗股骨髋臼撞击综合征的临床随机对照研究,经过严格的质量评价后使用 RevMan 5.3软件进行Meta 分析。临床指标为iHOT-33评分、HOS-ADL评分。结果共纳入3篇文献,Meta 分析结果显示,HOS-ADL评分关节镜手术治疗组高于非手术治疗组,差异有统计学意义(MD＝7.80,95%CI:2.95～12.656,P＜0.05),两组iHOT-33评分差异无统计学意义(MD＝2.35,95%CI:-12.62～17.33,P＞0.05)。结论 Meta分析结果表明,髋关节镜手术治疗股骨髋臼撞击综合征能够取得较高的HOS-ADL评分,而iHOT-33评分两种治疗方法的差异无统计学意义。

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	刘数敬
	喻瑛瑛
	缪炜程
	王昊

关键词 ：股骨髋臼撞击综合征, 非手术治疗, 关节镜手术治疗, meta分析

Abstract：Objective To compare the clinical effects of arthroscopic surgery and conservative treatment for femoroacetabular impingement via meta-analysis so as to provide evidence-based evidence for clinical treatment of femoroacetabular impingement. Methods Literature on randomized controlled clinical trials of conservative and arthroscopic surgery for femoroacetabular impingement was retrieved from PubMed, Embase, Cochrane Library, China HowNet and Wanfang databases. Meta-analysis was performed using RevMan 5.3 software after rigorous quality evaluation. The clinical indicators included the iHOT-33 score and HOS-ADL score. Results Three articles were included. The meta-analysis results showed that the HOS-ADL score of patients in the arthroscopic surgery group was higher than that of the conservative treatment group (MD=7.80, 95% CI:2.95-12.656, P< 0.05). There was no significant difference in the iHOT-33 score between the two groups (MD=2.35, 95% CI:-12.62-17.33, P>0.05). Conclusions This meta-analysis shows that hip arthroscopic surgery for femoral acetabular impingement syndrome can achieve a higher HOS-ADL score, but there is no significant difference in the iHOT-33 score between the two approaches.

Key words： femoroacetabular impingement conservative treatment arthroscopic surgery meta analysis

收稿日期: 2021-07-02

ZTFLH:

R684.7

通讯作者: 王昊,E-mail:wanghaowj@126.com

作者简介: 刘数敬,硕士,医师。

引用本文:

刘数敬, 喻瑛瑛, 缪炜程, 王昊. 股骨髋臼撞击综合征非手术治疗与关节镜手术治疗效果比较的Meta分析[J]. 武警医学, 2021, 32(12): 1048-1052. LIU Shujing, YU Yingying, MIAO Weicheng, WANG Hao. Conservative versus arthroscopic surgery for treating femoroacetabular impingement: a meta-analysis. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(12): 1048-1052.

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http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2021/V32/I12/1048

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