透皮与骨折患者的传统固定与结性脊柱疾病:一个元分析
Jiaxiao Shi1, Jiaxin Shen2, Wei Guo1
1Department of Orthopaedics, Hebei Province Cangzhou Hospital of Integrated Traditional Chinese Medicine-Western Medicine, Cangzhou, China; Hebei Key Laboratory of Integrated Traditional and Western Medicine in Osteoarthrosis Research(Preparing), Cangzhou, China.
穿皮内置固定显示在脊柱疾病的开放式手术上的优势,减少了手术时间和血液损失. 需要进一步的高质量试验来证实这些在脊柱骨折治疗中的好处.
科学领域:
- 整形外科手术 整形外科手术
- 最少侵入性的技术
- 脊髓融合是指脊髓的融合.
背景情况:
- 手术技术的进步正在影响传统的骨科手术.
- 穿皮内置固定正在成为脊柱疾病的开放性手术的替代方案,例如结性脊柱炎和扩散性异常骨超静止症.
研究的目的:
- 通过文献审查,评估皮肤穿内置固定与开放手术相比的外科优势.
- 评估新型最小侵入性技术对脊柱骨折管理的影响.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和中国国家知识基础设施的系统文献搜索.
- 包括随机和非随机对骨折患者的随机和非随机研究.
- 分析了10项研究,比较了穿皮和开放内部固定之间的临床结果.
主要成果:
- 皮肤穿内置固定显示了手术时间,血液损失,床上休息,住院和并发症率的显著改善 (P <0.05).
- 在手术后6个月和1年后的疼痛评分 (视觉模拟尺度,MacNab评分),科布角或脊椎高度 (P > 0.05) 中没有发现显著差异.
结论:
- 穿皮内部固定对于脊柱骨折的开放内部固定提供了明显的优势.
- 为了进一步验证这些发现,需要进行额外的高质量随机对照试验,因为一些现有研究的质量有限.
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