摘要
Abstract
Objective To evaluate the effect of arthroscopic surgery for degenerative meniscus tears.Methods The correlated literatures of cohort study and prospective control study on the arthroscopic surgery for treating the degenerative meniscus tears with Jadad scored 4 above were retrieved in MEDLINE,PUBMED,EMBASE and WOS database from 2007 to 2014.The effect (pain score) of short-term (6-mon after surgery) and long-term (24-mon after surgery) were evaluated by meta-analysis.Results There were 9 studies adopted in the meta-analysis.The knee joint function was evaluated after the arthroscopic surgery for degenerative meniscus tears:①The functional outcomes of short-term showed SMD =0.32,95％ CI(0.19-0.45),P =0.000,and there was significant difference;In the stratification analysis of European cases,there was SMD =0.31,95％ CI(0.11-0.52),P =0.003,and the difference was statistical significance;In the stratification analysis of Asian cases,there was SMD =0.32,95％ CI(0.15-0.49),P =0.000,and the difference was statistical significance.②The functional outcomes of long-term revealed SMD =0.10,95％CI(-0.03-0.24),P =0.125,and there was no statistical difference;In the European patients,there was SMD =0.22,95％ CI(0.03-0.41),P =0.021,and the difference was statistical significance;In the Asian patients,there was SMD =-0.01,95％ CI(-0.20-0.17),P =0.880,and the difference was not statistical significance.Conclusion The arthroscopic surgery can improve the knee joint function and pain for degenerative meniscus tears in short-term,but not in long-term.关键词
关节镜检查/半月板损伤/撕裂伤/退行性变Key words
arthroscopy/meniscus injury/lacerations/degeneration分类
医药卫生
