关节镜手术与开放手术治疗腘窝囊肿临床疗效的meta分析

doi:10.19739/j.cnki.issn1001-9510.2021.03.005

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Abstract Objective To investigate the clinical efficacy of arthroscopic surgery and open surgery in the treatment of popliteal cyst by meta-analysis.Methods PubMed, EBSCO, the Cochrane Library, CNKI and Wanfang databases were searched for randomized controlled trial (RCT) and semi randomized controlled trials (qRCT) of arthroscopic and open surgery for popliteal cyst of the knee joint from January 2000 to September 2017. According to the inclusion and exclusion criteria, literature screening and quality evaluation were conducted. Then, Newcastle Ottawa scale (NOS) document quality evaluation scale was used to evaluate the quality of the literature, and rev man 5.3 software was used for meta analysis.Results Eight articles were included, including 499 patients, 259 patients in arthroscopic surgery group and 240 patients in open surgery group. The meta-analysis showed that compared with the open surgery group, the arthroscopic group had a certain advantage over the open surgery group in the postoperative recurrence rate, postoperative infection rate, postoperative improvement rate and incision length between the two groups; however, there was no significant difference between the two groups in the operation time and the postoperative Lysholm score.Conclusion Compared with open surgery, arthroscopic surgery for popliteal cyst of the knee joint has the advantages of less surgical trauma, less postoperative complications, low recurrence rate and rapid recovery, and it also has the advantages of dealing with concomitant intra-articular lesions.

Key words： arthroscopy popliteal cyst open surgery meta analysis clinical efficacy

Received: 04 July 2020

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R684

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	Articles by authors
	CAO Heng
	SHI Hui
	WANG Jianming
	LI Jian
	LIU Mingting

Cite this article:

CAO Heng,SHI Hui,WANG Jianming, et al. A meta-analysis of the clinical efficacy of arthroscopic surgery and open surgery for the treatment of popliteal cyst[J]. 滨州医学院学报, 2021, 44(3): 183-188.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/10.19739/j.cnki.issn1001-9510.2021.03.005 OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2021/V44/I3/183

[1] 朱敏,丁晶,徐永清,等.腘窝囊肿发病的解剖学基础探讨[J].实用骨科杂志,2011,17(9):812-813.
[2] 朱敏,丁晶.腘窝囊肿的研究现状[J].中国矫形外科杂志,2010,18(7):565-567.
[3] BAKER W M. On the formation of synovial cysts in the leg in connection with disease of the knee-joint. 1877[J]. Clin Orthop Relat Res, 1994(299):2-10.
[4] HAYASHI D, ROEMER F W, DHINA Z. Longitudinal assessment of cyst-like lesions of the knee and their relation to radiographic osteoarthritis and MRI-detected effusion and synovitis in patients with knee pain [J] . Arthritis Res Ther, 2010, 12(5): 172.
[5] 谢超,刘洪涛,徐强,等.关节镜下后内侧入路切除腘窝囊肿的临床研究[J].中华关节外科杂志(电子版),2013,7(6):795-800.
[6] SANSONE V, DE PONTI A, PALUELLO G M, et al. Popliteal cysts and associated disorders of the knee. Critical review with MR imaging[J]. Int Orthop, 1995,19(5):275-279.
[7] 何锐,郭林,杨柳,等.膝关节镜下关节囊单向活瓣切除术治疗腘窝囊肿的临床分析[J].中华外科杂志,2013, 51(5):417-420.
[8] LINDGREN P G, WILLÉN R. Gastrocnemio-semimembranosus bursa and its relation to the knee joint. I. Anatomy and histology[J]. Acta Radiol Diagn (Stockh), 1977, 18(5):497-512.
[9] STANG A. Critical evaluation of the newcastle-ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses[J]. Eur J Epidemiol, 2010,25(9):603-605.
[10] 王祥猛.关节镜手术与开放手术治疗腘窝囊肿的临床疗效分析[D].太原:山西医科大学,2015.
[11] 何磊,颜廷卫,何峥峰.关节镜下切除与传统后路切除治疗腘窝囊肿的对比分析[J].实用骨科杂志,2016, 22(2):146-150.
[12] 乐国平,徐友高,张明,等.关节镜下前后联合与开放手术治疗腘窝囊肿的临床比较研究[J].中国骨与关节损伤杂志, 2014, 29(6):601-602.
[13] 谢洋,李苏皖,刘朝晖,等.关节镜下后侧入路治疗腘窝囊肿[J].中国矫形外科杂志,2012,20(7):603-605.
[14] 涂少臣.开放手术与经关节镜手术治疗腘窝囊肿的临床疗效对比分析[D].福州:福建医科大学,2014.
[15] 顾海峰,毕擎,夏冰,等.关节镜双后内侧入路治疗腘窝囊肿与切开手术的对比研究[C].//2014年浙江省骨科学学术年会. 2014.
[16] 金顺利,周敦,张哲.关节镜下后入路射频气化治疗腘窝囊肿临床观察[J].华西医学,2010,25(3):592-593.
[17] 刘自立,尚希福,胡飞,等.关节镜治疗胭窝囊肿分析[J].中国骨与关节杂志,2011,10(4):371-373.
[18] 王敏,周浩,叶湛,等.腘窝囊肿的关节镜下治疗[J].中华骨科杂志,2013,33(7):731-735.
[19] CHOJNOWSKI M M, KOBYLECKA M, PLAZIN′SKA M T, et al. Popliteal cyst after yttrium-90 radiosynovectomy-usefulness of delayed PET/CT imaging[J]. Rheumatology (Oxford), 2014, 53(11):1983.
[20] Steinbach L S, Stevens K J. Imaging of cysts and bursae about the knee [J] . Radiol Clin North Am, 2013,51(3):433-454.
[21] 颜廷卫,孙雪生.仰卧位关节镜治疗继发性腘窝囊肿[J].中国矫形外科杂志,2014, 22(19):1812-1815.
[22] SANSONE V, DE PONTI A. Arthroscopic treatment of popliteal cyst and associated intra-articular knee disorders in adults[J]. Arthroscopy, 1999,15(4):368-372.
[23] RUPP S, SEIL R, JOCHUM P. Popliteal cysts in adults.Prevalence,associated intra-articular lesions,and results after arthroscopic treatment [J] . Am J Sports Med, 2002, 30(1): 112-115.
[24] HUGHSTON J C, BAKER C L, MELLO W. Popliteal cyst: a surgical approach[J]. Orthopedics, 1991,14(2):147-150.
[25] 华英汇,陈世益,翟伟韬,等.关节镜下治疗腘窝囊肿35例报道[J].中国运动医学杂志,2006,25(3):297-300.