类风湿性手部施万森硅橡胶掌指关节置换术后的患者预后：一项系统综述
Patient outcomes following Swanson silastic metacarpophalangeal joint arthroplasty in the rheumatoid hand: a systematic overview.
作者信息
Chung K C, Kowalski C P, Myra Kim H, Kazmers I S
机构信息
University of Michigan Medical Center and the Department of Veterans Affairs, Ann Arbor, USA.
出版信息
J Rheumatol. 2000 Jun;27(6):1395-402.
OBJECTIVE
To investigate the effectiveness of Swanson silastic metacarpophalangeal joint arthroplasty (SMPA) in improving hand function for patients with rheumatoid arthritis.
METHODS
A systematic overview of all published series in the literature on SMPA from 1966 to 1999.
RESULTS
Research design deficiencies were quite prevalent in the literature on SMPA. However, SMPA was effective in correcting ulnar drift and in improving the arc of motion of the fingers. Health related quality of life was improved in the domains of hand function, pain, activities of daily living, aesthetics, and satisfaction.
CONCLUSION
SMPA appeared to be an effective procedure in correcting rheumatoid hand deformities. Future research must establish objective, quantifiable measures of hand function improvement by using standardized hand function tests and validated hand outcome questionnaires.
目的
探讨斯旺森硅橡胶掌指关节置换术（SMPA）对改善类风湿关节炎患者手部功能的有效性。
方法
对1966年至1999年文献中所有已发表的关于SMPA系列研究进行系统综述。
结果
SMPA相关文献中研究设计缺陷相当普遍。然而，SMPA在纠正尺偏和改善手指活动弧度方面是有效的。在手部功能、疼痛、日常生活活动、美观和满意度等方面，与健康相关的生活质量得到了改善。
结论
SMPA似乎是纠正类风湿性手部畸形的一种有效手术。未来的研究必须通过使用标准化的手部功能测试和经过验证的手部结局问卷，建立客观、可量化的手部功能改善指标。
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