Abstract:
Objective
To evaluate the effectiveness of arthroscopic debridement for the treatment of gout arthritis.
Methods
Computer retrieval of MEDLINE, EMBASE, CBM, CNKI, VIP and WangFang database (are building database to 2015) collected on arthroscopy and drug treatment, clinical control study of cases of gouty arthritis, into the method of quality evaluation, and using revman 5.0 software statistical analysis.
Results
A total of 10 randomized controlled studies were included, with a total of 409 patients, the quality of the method was B. The results of Meta analysis showed that the excellent rates of [RR=1.43, 95%CI 0.77, 2.66, P = 0.26] were not significantly different between the arthroscopic treatment group and the drug conservative treatment group. But the two groups of postoperative VAS score [MD=-1.96, 95%CI -3.10, -0.82, P = 0.000 7], Lysholm score [MD=5.64, 95%CI 2.57, 8.71, P=0.000 3] were statistically significant differences(P<0.05).
Conclusions
Based on the Meta analysis results, although the excellent rate of the two groups was not statistically significant(P> 0.05), but the difference of VAS and Lysholm scores between the two groups was statistically significant(P<0.05), that arthroscopic debridement for treatment of gout arthritis and Department of internal medicine drug treatment group has a certain advantage. The above conclusions are of some reference to the clinical treatment of gout arthritis.
Key words:
Arthroscopic debridement,
Gout,
Arthritis,
Systematic review,
Meta-analysis
Shiguo Gong, Xin Shen, Jianping Liao, Muzi Liu. Efficacy of arthroscopic in the treatment of gout arthritis: a systematic review[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(01): 44-47.