目的 通过回顾已发表文献中关于半月板切除术与半月板修复术短期及长期临床效果的比较,判断哪种术式有更好的临床效果.方法 在Medline、Embase及OVID数据库中检索关于“半月板切除”与“半月板修复”比较的随机、半随机及观察性临床研究文献并纳入本荟萃分析,根据国际膝关节评分委员会(IKDC)评分、Lysholm膝关节评分及Tegner活动评分评价临床效果.结果 共有7项研究入组,1项为随机前瞻性研究,6项为回顾性研究.Lysholm膝关节评分及Tegner活动评分评价显示,半月板修复术与半月板切除术相比有明显优势,差异有统计学意义(P=0.01)；但在IKDC评分上,两者并无明显差异(P=0.48).结论 半月板修复术相对半月板切除有更好的长期临床效果以及更好的活动能力.%Objective To review published articles that compared meniscal repair with meniscectomy for short- or long-term outcomes and to determine which procedure leads to a better clinical outcome. Methods A search was performed in the Medline. Embase and OVID databases. All randomized, quasi-randomized, and observational clinical trials that reported the outcome of meniscal repair and meniscectomy were included in our meta-analysis. The outcomes were evaluated according to the International Knee Documentation Committee (IKDC) Score. Lysholm knee score and Tegner activity scale. Results Seven studies were included in this meta-analysis, one of which was a randomized prospective study, six were retrospective studies. There was a statistically significant difference in favor of meniscal repair for Lysholm knee score and Tegner activity scale ( P = 0. 01 ). However, meniscal repair had no significant difference in IKDC Score compared with meniscectomy (P = 0. 48). Conclusions Meniscal repairs have better long-term patient-reported outcomes and better activity levels than meniscectomy.
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