| CHP与TB治疗锁骨远端骨折和肩锁关节脱位疗效的Meta分析 |
| 投稿时间：2015-11-13 修订日期：2015-11-16 点此下载全文 |
| 引用本文：黄朝庆,梁湘辰,孙建华.CHP与TB治疗锁骨远端骨折和肩锁关节脱位疗效的Meta分析[J].医学研究杂志,2016,45(4):120-125 |
| DOI：
10.11969/j.issn.1673-548X.2016.04.032 |
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| 中文摘要:目的 Meta分析锁骨钩钢板内固定方式与克氏针张力带内固定方式治疗锁骨远端骨折和肩锁关节脱位的疗效。方法 计算机检索Cochrane Library、PubMed、Medline、Embase、CNKI、VIP等数据库;手工检索相关文献,同时对纳入文献所附的参考文献进行查阅。搜集CHP与TB治疗该病的随机对照研究。通过提取各研究中手术观测指标数据,并运用Stata 12.0软件对其进行分析和处理。结果 经筛选后最终纳入13篇文献,共纳入患者1175例。Meta分析结果显示,两者在疗效,安全性,优良率,肩关节疼痛和活动受限、内固定物失效、再脱位等术后并发症方面的差异均有统计学意义(P<0.05)。结论 与传统克氏针张力带内固定方式相比,锁骨钩钢板内固定方式的疗效和优良率均优于克氏针张力带内固定方式;在术后安全性以及术后产生肩关节疼痛和活动受限,内固定物失效,再脱位等并发症方面均少于克氏针张力带内固定方式。 |
| 中文关键词:锁骨钩钢板 克氏针张力带 锁骨远端骨折 肩锁关节脱位 Meta分析 |
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| Meta Analysis of the Therapeutic Effects of Clavicular Hook Plate and Kirschner Tension Band in the Treatment of Distal Clavicle Fractures and Acromioclavicular Joint Dislocation |
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| Abstract:Objective To Meta analyze the therapeutic effects of distal clavicle fractures and clavicular hook plate and kirschner tension band in the treatment of distal clavicle fractures and acromioclavicular joint dislocation. Methods We searched Cochrane Library, PubMed, Medline, Embase, CNKI, VIP and other databases; hand retrieve relevant literature, while inspected the accompanying documents incorporated by reference literature. We collected RCTs for CHP and TB in the treatment of the disease. By extracting the surgical outcome measures from each study, and using Stata 12.0 software, we carried out data analysis and processing. Results After the screening of the final included 13 documents, a total of 1175 cases of patients included. Meta-analysis showed that there were significant differences between CHP and TB in the treatment of the disease when they were compared in efficacy, safety, excellent rate, shoulder pain and limited mobility, internal fixation failure, as well as re-dislocation postoperative complications. Conclusion When compared with the traditional tension band internal fixation, clavicular hook plate internal fixation had better efficacy and excellent rate than Kirschner tension band internal fixation; and clavicular hook plate internal fixation was less than Kirschner tension band internal fixation in terms of postoperative safety, postoperative shoulder pain and limited mobility, internal fixation failure, as well as re-dislocation postoperative complications were less than Kirschner tension band internal fixation. |
| keywords:Clavicular hook plate Kirschner tension band Distal clavicle fractures Acromioclavicular joint dislocation Meta analysis |
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