| DHS与PFNA治疗老年股骨粗隆间骨折的Meta分析 |
| 投稿时间：2015-01-19 修订日期：2015-01-26 点此下载全文 |
| 引用本文：吕曼曼,王维山,董金波,史晨辉.DHS与PFNA治疗老年股骨粗隆间骨折的Meta分析[J].医学研究杂志,2015,44(9):106-111 |
| DOI：
10.11969/j.issn.1673-548X.2015.09.030 |
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| 中文摘要:目的 运用Meta分析对DHS与PFNA治疗老年股骨粗隆间骨折的疗效和安全性作出评价。 方法 计算机检索万方数据库、Cochrane图书馆、中国知网(CNKI)、MEDLINE、Pubmed等数据库收集关于老年股骨粗隆间骨折PFNA固定与DHS固定的临床对照研究,通过预先制定的纳入标准、排除标准确定纳入文献,提取资料,质量评价,采用Revman 5.0软件对相关研究数据进行Meta分析。 结果 最终选取符合要求的12篇文献进行研究,共924例,其中DHS组462例,PFNA组462例,分析结果表明:DHS与PFNA在手术操作时间、术中出血量、术后髋关节优良率、术后髋关节Harris评分、术后髋关节内翻发生率、内固定切出发生率差异有统计学意义。DHS与PFNA在骨折愈合时间、深静脉血栓发生率比较,差异无统计学意义。 结论 在治疗老年股骨粗隆间骨折上,PFNA内固定能够明显缩短手术时间,减少术中出血量,具有更好的术后髋关节优良率,更高的术后髋关节Harris评分,更低的术后髋关节内翻发生率、内固定切出发生率;但在骨折愈合时间、深静脉血栓发生率方面,二者未见明显的区别。 |
| 中文关键词:股骨粗隆间骨折 DHS PFNA Meta分析 |
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| Meta-analysis of DHS Versus PFNA in Treatment of Intertrochanteric Fractures in Elderly Patients |
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| Abstract:Objective Use Meta-analysis to compare therapeutic effects and security of DHS and PFNA for treating intertrochanteric fracture in aged patients. Methods Use computer to search Wan Fang database, Cochrane Library, CNKI, MEDLINE and Pubmed to collect the database for clinical compare research of DHS and PFNA for treating intertrochanteric fracture in aged patients. According to the inclusion and excluding criteria to include literature, extract data and evaluate quality. Use Revman 5.0 software to handle the data according to the Meta-analysis. Results Twelve articles meet the requirement with a total of 924 patients. Group DHS has 462 patients and group PFNA has 462 patients. Analysis results show that there was significant difference of operation time, intraoperative blood loss, hip joint postoperative excellent rate, hip joint postoperative Harris score, hip joint postoperative varus rate and internal fixation cut out rate. There is no significant difference of fracture healing time and occurring rate of deep venous thrombosis between the two groups. Conclusion To treat intertrochanteric fracture in aged patients, PFNA can obviously shorten operation time, reduce intraoperative blood loss, that has a better hip joint postoperative excellent rate, a higher hip joint postoperative Harris score, a lower hip joint postoperative varus rate and internal fixation cut out rate. But the two groups have no significant difference of fracture healing time and occurring rate of deep venous thrombosis. |
| keywords:Intertrochanteric fractures Dynamic hip screw Proximal femoral nail-rotation Meta-analysis |
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