在儿科触发指中自发解决的流行:系统性审查和元分析
QingSong Tang1, XinLing Miao2, Kang Zhao1
1Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 611731, China.
Journal of orthopaedic surgery and research
|August 2, 2024
概括
超过三分之一的儿科触发指会自发地消失. 这突显了非手术观察作为儿童手部常见病的管理策略的有效性.
科学领域:
- 儿科整形外科 儿科整形外科
- 手术手术手术手术手术
- 发育儿科 发育儿科
背景情况:
- 儿科触发指是一种常见的疾病,有争论的管理策略.
- 非手术治疗越来越多地被探索为手术的替代方案.
- 了解自发解决率对于明智的临床决策至关重要.
研究的目的:
- 为了估计儿科突发症自发解决的总体患病率.触发指.
- 分析影响自发解决率的因素,如年龄和随访持续时间.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了PubMed,Embase和Cochrane图书馆的数据库,直到2024年5月.
- 包括报告观察儿科触发指 (长达14岁) 的研究,随访时间≥3个月;不包括混杂干预.
主要成果:
- 分析了11项涉及599个儿科触发指的研究.
- 总体自发解决率为43.5% (95%CI为29.6-58.6).
- 较长的随访时间 (≥24个月) 与较短的时间 (26.8%) 相比,显示出明显更高的解决率 (58.9%).
结论:
- 显著的比例的儿科触发指自发地解决.
- 早期非操作性观察是一种有益的管理方法.
- 有信息的治疗决策可能会减少对外科手术的需要.
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