Abdulrahman M Alquraynis, Khalid S Alsomali, Mohammed K AlNour, Mohammed M Aljuhani, Khalid S Alqarni, Sulaiman A Elyahia, Fahad I Askar, Saud K AlBatati, Abdullah M Alhossan
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引用次数: 0
摘要
目的：评价关节镜下手术治疗肩撞击综合征（SIS）的疗效。方法：系统检索PubMed、Web of Science、SCOPUS和Science Direct中有关SIS关节镜手术疗效的研究。筛选、数据提取和质量评估独立进行。结果：纳入11项研究，共782例患者。关节镜下肩峰下减压（ASAD）不论年龄或慢性程度，均能减轻疼痛，改善功能，满意度高，并发症发生率低（0-19.4%）。与开放手术相比，关节镜肩峰成形术为难治性SIS提供了良好的短期疗效和优越的长期疗效。结论：对于顽固性SIS， ASAD比开放或保守治疗更有效，尽管结构良好的运动治疗也可以获得类似的结果。关节镜相关的低并发症发生率强调了其安全性。
The Outcomes of Arthroscopic Surgery for Patients with Shoulder Impingement Syndrome: A Systematic Review.
Objectives: To evaluate the outcomes of arthroscopic surgery for patients with shoulder impingement syndrome (SIS).
Methods: A systematic search was conducted in PubMed, Web of Science, SCOPUS, and Science Direct for studies on the outcomes of arthroscopic surgery for SIS. Screening, data extraction, and quality appraisal were performed independently.
Results: Eleven studies with a total of 782 patients were included. Arthroscopic subacromial decompression (ASAD) showed reduced pain and improved function regardless of age or chronicity, with high satisfaction rates and a low complication rate of 0-19.4%. Arthroscopic acromioplasty provided good short-term outcomes for refractory SIS and superior long-term outcomes compared to open surgery.
Conclusion: ASAD is more effective than open or conservative treatment for recalcitrant SIS, though similar results can be attained with well-structured exercise therapy. Low complication rates associated with arthroscopy underscore its safety.
期刊介绍：
Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
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