全膝关节置换髌骨置换的系统评价.pdfVIP

·中文论著摘要· 全膝关节置换中髌骨置换的系统评价 摘要 针对胫股关节的全膝关节置换已经发展较为成熟，但在全膝关节置换中是否需行 髌骨置换仍有争议。本研究检索并获取1998．2012年发表的髌骨置换研究的相关 文献，筛选出符合纳入标准的随机对照试验，并对其进行Meta分析，系统评价在 全膝关节置换中髌骨置换与不置换两种处理方式的的治疗效果。Meta分析结果表 明全膝关节置换后4年内，未置换组再手术率和置换组相比无显著差异；超过4 年未置换组再手术率高于置换组，差异有统计学意义。置换组与未置换组相比， 患者满意率、膝功能评分、膝评分差异均无显著差异；关于患者间膝前痛发生率 本研究未得到肯定结论。 关键词。全膝关节置换；髌骨置换；系统评价 ·英文论著摘要· in reviewof totalknee Systematicpatellarreplacement arthroplasty Abs仃act Allrandomizedcontrolledtrials totalknee withand comparing arthroplasty performed without wereretrievedandincluded．Therelevantdatawere patellarresurfacing exactedanda WaS evaluatetheeffectsoftotalknee performed．To Meta-analysis andwithout usedthemethodof arthroplasty patellarresurfacing，we performed、杭m Cochrane followedthan review．In forless 4 wasno systematic patients years,there differencebetweenthe in arms ratewhereasthe significant comparedreoperation rateofthenon-resurfaced thanresurfaced Was reoperation groupsignificantlygreater whenthe wasmorethan4 wereno group follow-upperiod years．Theresignificant differencesbetweentwoarmsin Scoreandkneefunction satisfaction，knee