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经皮加压钢板与动力髋螺钉治疗股骨转子间骨折的Meta分析 被引量：1

Percutaneous Compression Plate(PCP) Versus Dynamic Hip Screw(DHS) for Intertrochanteric Fractures:A Meta-analysis
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摘要 目的系统评价经皮加压钢板(percutaneous compression plate,PCP)和动力髋螺钉(dynamic hip screw,DHS)治疗股骨转子间骨折的疗效。方法计算机检索MEDLINE(1966年至2010年12月)、PUBMED(1974年至2010年12月)及中国生物医学文献数据库(1979年至2010年12月)、手工检索相关的中英文骨科杂志。收集PCP和DHS治疗股骨转子间骨折的随机对照试验和半随机对照试验,按Cochrane协作网推荐的方法进行系统评价。结果共纳入4个实验,随机对照试验3篇,半随机对照试验1篇,共557例,其中PCP246例,DHS311例。Meta分析显示:PCP组与DHS组手术时间(WMD=-10.96,95%CI-26.47～4.56,P=0.17)、术后感染率(RR=0.43,95%CI0.55～1.28,P=0.13)、术后死亡率(小于等于1年)(RR=0.88,95%CI 0.55～1.40,P=0.58)、住院时间(WMD=-0.77,95%CI-2.09～1.94,P=0.94)差异均无统计学意义。结论现有的临床研究证据显示,PCP组与DHS组在手术时间、术后感染率、术后死亡率、住院时间上并没有明显的优势。 Objective To determine the effect of Percutaneous compression plate（PCP） versus Dynamic hip screw（DHS） for intertrochanteric fractures.Methods MEDLINE（1966-December,2010）,PUBMED（1974～December,2010） and CBM disc（1979-December,2010）,and the relevant Chinese and English orthopedic journals were searched retrospectively.Randomized controlled trials（RCTs） and controlled clinical trials（CCTs） of PCP versus DHS for Intertrochanteric fractures were included.The system review was performed with the method recommended by the Cochrane Collaboration.Results Four studies（3 RCTs and 1 CCTs） were included,involving 557 patients（246 PCP cases and 311 DHS cases）.The results of meta analysis showed there were no significant differences in operating time（WMD=-10.96,95% CI-26.47～4.56,P=0.17）,post-operative infection rate（RR=0.43,95% CI 0.55～1.28,P=0.13）,post-operative mortality rate（≤1 year）（RR=0.88,95% CI 0.55～1.40,P=0.58）,or in the length of stay in hospital（WMD=-0.77,95% CI-2.09～1.94,P=0.94）.Conclusion Compared with DHS,PCP have no advantages in operating time,post-operative infections,post-operative mortality（≤1 year）,or the length of stay in hospital for intertrochanteric fractures.
作者 陈毅荣 余斌 张凯瑞 豆勇刚 覃承诃 黎润光 罗吉伟
机构地区 南方医科大学南方医院创伤骨科
出处 《实用骨科杂志》 2011年第10期886-890,共5页 Journal of Practical Orthopaedics
关键词 髋骨折 骨板 骨钉 META分析 hip fractures bone plate bone screw meta-analysis
分类号 R683.42 [医药卫生—骨科学]
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参考文献20

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二级参考文献31

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共引文献79

同被引文献14

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实用骨科杂志
2011年 第10期

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