关节镜和开放手术治疗外侧上髁炎的疗效相当：一项系统综述。

IF 5.4 1区医学 Q1 ORTHOPEDICS Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-01-30 DOI:10.1016/j.arthro.2025.01.024

Liwei Zhang, Dawei Han, Yang Yang, Xiangdong Yang, Yongwei Su, Hua Luo

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引用次数: 0

摘要

目的：本系统综述的目的是比较开放手术与关节镜手术治疗外侧上髁炎的结果，重点关注疼痛缓解、功能恢复、并发症发生率和患者满意度，以便为临床实践提供循证建议，并确定未来研究的领域。方法：系统评价过程按照PRISMA（首选报告项目用于系统评价和荟萃分析）指南进行。系统检索PubMed、Embase、Cochrane Library、b谷歌Scholar和Web of Science。研究比较开放和关节镜手术治疗外侧上髁炎。纳入研究的方法学质量采用随机对照试验的Cochrane偏倚风险工具和非随机研究的非随机干预研究的偏倚风险（ROBINS-I）工具进行评估。评估的结果包括复发疼痛、持续性疼痛、感染率、再手术率、神经相关并发症、血肿、患者满意度、视觉模拟量表、手臂、肩部和手部残疾评分、手术时间和重返工作时间。随机对照试验（rct）和非随机对照试验均纳入。结果：纳入14项研究，包括6项随机对照试验和8项队列研究，共纳入20153名受试者。两种手术技术在复发性疼痛方面的结果相当(关节镜：0%至13.3%；开放性：2.9% - 13.2%)，持续性疼痛(关节镜：0% - 13.3%；开放：0%至11.9%)，患者不满意(关节镜：4.9%至13.3%；切开：3.8% ~ 16.7%)，感染率(关节镜：0% ~ 13.3%；切开：0% ~ 6.7%)，再手术率(关节镜：2.4% ~ 7.1%；开放性：2.9% - 5.3%)，神经相关并发症(关节镜：0% - 6.7%；切开：0% - 7.7%)和血肿(关节镜：0% - 5%；开盘：0%至6.7%)。关节镜组手术时间（34 ~ 36 min）普遍长于开放组（22.5 ~ 34.7 min）。在大多数研究中没有观察到功能结果的显著差异。结论：关节镜和开放式手术治疗外侧上髁炎的临床效果相似，功能结果无显著差异。尽管手术时间较长，但由于其微创性，关节镜手术有望成为首选方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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WITHDRAWN: Arthroscopic and Open Surgery Show Comparable Efficacy in the Treatment of Lateral Epicondylitis: A Systematic Review

This article has been withdrawn because Arthroscopy: The Journal of Arthroscopic and Related Surgery has transferred to a new Publisher. Once finalised, the article will be available on the new Publisher’s website. For more information, please see The Arthroscopy Journals Are Changing Publisher- AANA The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies-and-standards/article-withdrawal

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.