| 经皮椎体后凸成形术和经皮椎体成形术治疗 Kummell病临床疗效的Meta分析 |
| 投稿时间：2022-12-07 修订日期：2022-12-21 点此下载全文 |
| 引用本文：郑鑫泽,林晓晓,廖文庆,张瀚麟,赵泽铤,李干,王东平.经皮椎体后凸成形术和经皮椎体成形术治疗 Kummell病临床疗效的Meta分析[J].医学研究杂志,2024,53(1):63-69, 146 |
| DOI：
10.11969/j.issn.1673-548X.2024.01.014 |
| 摘要点击次数: 114 |
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| 基金项目:广东省自然科学基金资助项目(2018A030313619) |
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| 中文摘要:目的 评估经皮椎体成形术和经皮椎体后凸成形术在治疗Kummell病的临床疗效和安全性。方法 检索建库至2022年6月1日的Cochrane Library、PubMed、Medline、Embase、Web of Science、中国知网、维普网、万方数据知识服务平台和中国生物医学文献等数据库中关于经皮椎体后凸成形术和经皮椎体成形术治疗Kummell病的临床研究,并根据指定的纳入和排除标准进行文献筛选。在严格遵守Cochrane系统评价原则的条件下,对文献质量进行合理分析评估以及再筛选,后使用Review manager 5.4软件对各研究中的术后ODI、VAS评分、手术时间、术中出血量、术后椎体前缘高度、术后Cobb′s角和骨水泥渗漏等评价指标进行统计分析。结果 筛选后共纳入符合筛选标准的文献9篇,其中英文文献4篇,中文文献5篇,共收录经皮椎体成形术组243例,经皮椎体后凸成形术组222例,共计465例患者。经皮椎体后凸成形术与经皮椎体成形术比较,术后ODI评分、骨水泥渗漏和术后Cobb′s角等方面存在优势,差异有统计学意义(P<0.05),但手术时间较长,术后VAS评分改善效果较差。术中出血量和术后椎体前缘高度差异无统计学意义(P>0.05)。结论 在Kummell病的手术治疗中,与传统的经皮椎体成形术比较,经皮椎体后凸成形术在改善术后ODI评分、减少骨水泥渗漏风险、缩小术后Cobb′s角方面具有更好的效果,在提高临床疗效与降低术后风险上更具优势。 |
| 中文关键词:Kummell病 经皮椎体成形术 经皮椎体后凸成形术 Meta分析 |
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| Study on the Safe Use of Sensitive Personal Information of Patients in Medical and Health Institutions |
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| Abstract:Purpose/Significance Based on the typical use scenario of sensitive personal information in medical and health institutions, the implementation of the secure use of sensitive personal information is explored.Method/Process For user registration, internal utilization and interaction, medical device/wearable device collection and information disclosure and other scenarios, the paper analyzes the risk of sensitive personal information leakage, explores the application scenarios, advantages and disadvantages of various technical means such as identity authentication, access control, data encryption, data desensitization and detection audit.Result/Conclusion The application of technical means can assist medical and health institutions to further protect the security of patients’ personal information. |
| keywords:medical and health institutions sensitive personal information use security |
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