CAJ | 학술논문

目的：对修复三角韧带与不修复韧带在踝关节骨折合并三角韧带断裂术后效果效果的评价。方法按照Cochrane 系统评价的方法，检索下列数据库：Medline （1996/2014-03）、CNKI （1996/2014-03）、万方数数据库（1996/2014-03），维普数据库（1996/2014-03）并采用手工检索等方法收集会议文献。收集所有相关随机对照试验，采用Cochrane协作网提供的软件Revman 4.2进行Meta分析。结果经过筛选，共纳入7个临床对照实验共个395患者。 Meta分析结果显示修复三角韧带组较不修复三角韧带组治疗踝关节骨折合并三角韧带断裂术后 Mazur 评分优等数高[OR＝2.61，95％CI （1.66，4.12）， P＜0.01]，两组术后优良率相比较修复三角韧带组较不修复三角韧带组治疗踝关节骨折合并三角韧带断裂术后 Mazur评分优良率高[OR＝3.14，95％ CI （1.34，7.39）， P＜0.01]。两组治疗踝关节引起术后关节僵硬的并发症有统计学差异，不修复组较修复三角韧带组发生率较高[OR＝0.30，95％CI （0.13，0.73）， P＜0.01]。结论修复三角韧带较不修复三角韧带对于踝关节合并三角韧带损伤术后功能效果好以及 Mazur评分更高，引起关节僵硬等并发症更少。
목적：대수복삼각인대여불수복인대재과관절골절합병삼각인대단렬술후효과효과적평개。방법안조Cochrane 계통평개적방법，검색하렬수거고：Medline （1996/2014-03）、CNKI （1996/2014-03）、만방수수거고（1996/2014-03），유보수거고（1996/2014-03）병채용수공검색등방법수집회의문헌。수집소유상관수궤대조시험，채용Cochrane협작망제공적연건Revman 4.2진행Meta분석。결과경과사선，공납입7개림상대조실험공개395환자。 Meta분석결과현시수복삼각인대조교불수복삼각인대조치료과관절골절합병삼각인대단렬술후 Mazur 평분우등수고[OR＝2.61，95％CI （1.66，4.12）， P＜0.01]，량조술후우량솔상비교수복삼각인대조교불수복삼각인대조치료과관절골절합병삼각인대단렬술후 Mazur평분우량솔고[OR＝3.14，95％ CI （1.34，7.39）， P＜0.01]。량조치료과관절인기술후관절강경적병발증유통계학차이，불수복조교수복삼각인대조발생솔교고[OR＝0.30，95％CI （0.13，0.73）， P＜0.01]。결론수복삼각인대교불수복삼각인대대우과관절합병삼각인대손상술후공능효과호이급 Mazur평분경고，인기관절강경등병발증경소。
Objective To evaluate the effects of the deltoid ligament repair in the treatment for the ankle fracture with deltoid ligament injury by meta-analysis .Methods According to the Cochrane system evaluation method, the following database were searched:Medline (1996/2014-03), CNKI (1996/2014-03), Wanfang database (1996/2014-03), and VIP database (1996/2014-03);the manual retrieval methods were also used to collect the meeting documents .All the relevant randomized controlled trials were collected for the meta-analysis using Cochrane collaboration′s software Revman 4.2.Results After screening, seven clinical controlled trials with total 395 patients were included .The meta-analysis showed that Mazur scores in the excellent level of the deltoid ligament repair group were higher than that of the non -repair group, [OR=2.61, 95% CI (1.66, 4.12), P<0.01]; according to Mazur scores, t after the operation, the excellent and good rate of the deltoid ligament repair group was higher than that of the non -repair group [OR=3.14, 95%CI (1.34,7.39), P<0.01].The incidences of the postoperative ankle joint stiffness of the two groups were statistically different .The non-repair group had a higher incidence of this complication [OR=0.30, 95% CI (0.13, 0.73), P<0.01].Conclusion The deltoid ligament repair can provide a better postoperative functional recovery and less joint stiffness for the ankle joint fracture with deltoid ligament injury .