脊椎病理会影响关节镜的结果吗? 一个系统性审查和元分析
Napatpong Thamrongskulsiri1,2,3, Logan D Moews1,2, Jacob T Morgan1,2
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
The American journal of sports medicine
|March 13, 2026
概括
脊椎病理会对关节镜检查结果产生负面影响,导致患者报告的结果更差,修复手术或转换为关节整形手术的比例增加. 这凸显了在部手术规划中考虑脊柱健康的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱生物力学 脊柱生物力学
- 患者研究成果研究结果
背景情况:
- 关节透视术是对股骨骨的常见治疗方法.
- 同时存在的脊柱病理可以改变脊椎骨盆力学,可能影响部手术的结果.
- 了解这种关系对于有效的患者咨询和手术规划至关重要.
研究的目的:
- 系统地审查和元分析先前存在的脊柱病理对关节镜术后的结果的影响.
- 评估对患者报告结果的影响,关节镜检查率和转换为全关节整形术.
主要方法:
- 通过全面的文献搜索 (PubMed,Ovid MEDLINE,Scopus) 发现的比较研究的系统审查和元分析.
- 纳入标准侧重于比较关节关节镜检查结果的研究,这些研究针对有和没有脊柱病理的患者进行.
- 进行了数据提取和质量评估 (修改的科尔曼方法得分);使用随机或固定效应模型进行了聚合分析.
主要成果:
- 分析了包括4462个部在内的14项研究.
- 脊椎病理的患者在多个患者报告的结果测量 (例如,修改后的哈里斯关节评分,iHOT-33) 上显示得分明显较差.
- 在脊椎病理患者中,观察到更高的关节镜检查率和转换为关节整形术.
结论:
- 预先存在的脊柱病理与关节透视术后患者报告的结果在统计学上显著差.
- 脊柱病理患者面临更改关节镜和转换为全关节整形术的风险增加.
- 这些发现强调了评估关节镜术患者的脊柱健康的必要性.
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