中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2014年
12期
1183-1190
,共8页
王杰%马信龙%马剑雄%徐卫国%邢丹%杨阳%朱少文%马宝意%陈阳
王傑%馬信龍%馬劍雄%徐衛國%邢丹%楊暘%硃少文%馬寶意%陳暘
왕걸%마신룡%마검웅%서위국%형단%양양%주소문%마보의%진양
Colles骨折%外固定器%桡骨骨折%Meta分析
Colles骨摺%外固定器%橈骨骨摺%Meta分析
Colles골절%외고정기%뇨골골절%Meta분석
Colles' fracture%External fixators%Radius fractures%Meta-analysis
目的 对比动态和静态外固定支架治疗桡骨远端骨折的疗效.方法 计算机检索MEDLINE(1966年1月-2012年12月)、Cochrane图书馆(2012年第4期)等数据库,收集动态与静态外固定支架治疗桡骨远端骨折的随机对照试验(randomized controlled trials,RCTs),并由2名评价者进行文献筛选、数据提取和方法学质量评价,采用RevMan 5.0统计软件进行Meta分析.结果 共纳入7个RCTs.Meta分析结果显示,随访1年时动态外固定支架治疗桡骨远端骨折在腕关节旋前(MD =0.25,95％ CI0.08～4.92,P＜0.05)、影像学上的桡骨高度(MD=1.50,95％ CI0.75～2.26,P＜0.01)和掌倾角(MD=4.31,95％CI2.13 ～6.49,P＜0.01)优于静态外固定支架;而在上肢功能评分、患侧手握力、除旋前以外的其他5种腕关节活动、感染率和反射性交感神经营养不良(reflex sympathetic distrophy,RSD)发生率方面与静态外固定支架差异无统计学意义.结论 动态外固定支架和静态外固定支架在治疗桡骨远端骨折时均能取得较好疗效,且动态外固定支架在可获得更好的影像学骨折解剖对位.
目的 對比動態和靜態外固定支架治療橈骨遠耑骨摺的療效.方法 計算機檢索MEDLINE(1966年1月-2012年12月)、Cochrane圖書館(2012年第4期)等數據庫,收集動態與靜態外固定支架治療橈骨遠耑骨摺的隨機對照試驗(randomized controlled trials,RCTs),併由2名評價者進行文獻篩選、數據提取和方法學質量評價,採用RevMan 5.0統計軟件進行Meta分析.結果 共納入7箇RCTs.Meta分析結果顯示,隨訪1年時動態外固定支架治療橈骨遠耑骨摺在腕關節鏇前(MD =0.25,95％ CI0.08～4.92,P＜0.05)、影像學上的橈骨高度(MD=1.50,95％ CI0.75～2.26,P＜0.01)和掌傾角(MD=4.31,95％CI2.13 ～6.49,P＜0.01)優于靜態外固定支架;而在上肢功能評分、患側手握力、除鏇前以外的其他5種腕關節活動、感染率和反射性交感神經營養不良(reflex sympathetic distrophy,RSD)髮生率方麵與靜態外固定支架差異無統計學意義.結論 動態外固定支架和靜態外固定支架在治療橈骨遠耑骨摺時均能取得較好療效,且動態外固定支架在可穫得更好的影像學骨摺解剖對位.
목적 대비동태화정태외고정지가치료뇨골원단골절적료효.방법 계산궤검색MEDLINE(1966년1월-2012년12월)、Cochrane도서관(2012년제4기)등수거고,수집동태여정태외고정지가치료뇨골원단골절적수궤대조시험(randomized controlled trials,RCTs),병유2명평개자진행문헌사선、수거제취화방법학질량평개,채용RevMan 5.0통계연건진행Meta분석.결과 공납입7개RCTs.Meta분석결과현시,수방1년시동태외고정지가치료뇨골원단골절재완관절선전(MD =0.25,95％ CI0.08～4.92,P＜0.05)、영상학상적뇨골고도(MD=1.50,95％ CI0.75～2.26,P＜0.01)화장경각(MD=4.31,95％CI2.13 ～6.49,P＜0.01)우우정태외고정지가;이재상지공능평분、환측수악력、제선전이외적기타5충완관절활동、감염솔화반사성교감신경영양불량(reflex sympathetic distrophy,RSD)발생솔방면여정태외고정지가차이무통계학의의.결론 동태외고정지가화정태외고정지가재치료뇨골원단골절시균능취득교호료효,차동태외고정지가재가획득경호적영상학골절해부대위.
Objective To compare the clinical effect of dynamic and static external fixation of distal radius fracture.Methods MEDLINE (1966.01-2012.12) and Cochrane Library (Issue 4,2012) were searched for randomized controlled trials (RCTs) describing dynamic versus static external fixation of distal radius fracture.Two reviewers independently screened the studies,extracted data and evaluated the methodological quality.Meta analysis of the data was performed with RevMan 5.0 software.Results Seven RCTs were included.In comparison with static external fixation,dynamic external fixation was superior in wrist pronation (MD =0.25,95％ CI 0.08-4.92,P ＜ 0.05),radial length (MD =1.50,95％CI0.75-2.26,P＜0.01) and volartilt (MD=4.31,95％CI2.13-6.49,P＜0.01) at one year follow-up period.No between-group difference was observed with regard to upper extremity functional score,grip strength of the injured side,movement of the injured wrist except for pronation,infection rate and incidence of reflex sympathetic dystrophy (RSD).Conclusion Either dynamic or static external fixation is effective in treatment of distal radius fracture,but the dynamic external fixation can provide better radiographic anatomical alignment at one year follow-up period.
