摘要
目的通过Meta分析比较桡骨远端关节内骨折手术与非手术治疗的疗效。方法通过检索1988年1月至2008年6月关于桡骨远端骨折手术与非手术治疗对照研究的文献（共5篇），采用循证医学Meta分析对患者腕关节功能、骨折复位后X线位置、患者满意度及并发症进行综合分析。结果Meta分析发现：与非手术治疗相比，手术治疗能明显改善腕关节功能（OR=0．23，95％C10．11-0．48，P〈0．05）、可以良好复位（OR=0．20，95％C10．10-0．39，P〈0．05）、减少并发症的发生（OR=0．29，95％C10．17-0．49，P〈0．05），但患者满意度方面低于非手术治疗（OR=0．32，95％C10．14-0．75，P=0．009）。结论桡骨远端关节内骨折应采用手术治疗，同时应该关注患者的要求及期望值。
Objective To compare operative and non-operative treatments for intraarticular fractures of distal radius by meta-analysis. Methods The literature which had been published in English or Chi- nese from 1988 to 2008 on comparison between operative and nonoperative treatments of intraarticular fractures of distal radius were searched for on line. Three Chinese papers and 2 English ones were eligibly included in this meta-analysis. The clinical data of the 5 papers were collected for comparing wrist function, reduction on X-rays, complications and patient＇s satisfaction. Results Operative treatment resulted in better reduction on X-rays, better wrist function and fewer complications but lower patient＇s satisfaction than non-operative treatment. Conclusion The operative treatment should be recommended for intraarticular fractures of distal radius, but meanwhile the needs and expectations of the patient should be also addressed.
出处
《中华创伤骨科杂志》
CAS
CSCD
2009年第12期1105-1109,共5页
Chinese Journal of Orthopaedic Trauma
基金
国家自然科学基金资助项目（30500515）
山西省基础研究项目（2006021045）
关键词
桡骨骨折
META分析
手术
非手术
Radius fractures
Meta-analysis
Surgical procedures, operative
Non-operation
