摘要
目的：通过Meta分析，对保守治疗与手术治疗儿童肱骨髁上骨折的疗效进行比较．．方法：收集2000年1月-2012年7月保守治疗与手术治疗儿童肱骨髁上骨折的相关文献，用Rev Man5．1软件分析。结果：共有987例纳入分析。儿童肱骨髁上骨折优良率，手术治疗的优良率优于保守治疗（OR=0．36，95％CI：0．24-0．56．P〈0．00001），差异有非常显著性意义；骨折愈合时间，手术治疗比保守治疗缩短愈合时间（MD=-1．70，95％CI：-1．54-0．52，P〈0．0001），差异有非常显著性意义；两者的肘内翻发生率（OR=1．17，95％CI：0．75-1．83，P=0．49）、神经损伤发生率（OR=0．54，95％CI：0．11-2．56，P=0．44）相比，差异均无显著性意义。结论：手术治疗儿童肱骨髁上骨折的疗效与保守治疗在临床实际工作中应根据具体情况采取合适的个体化治疗方式、
Objective： To compare the therapeutic effect of conservative treatment and operative treatment for children supracondylar humeral fractures with meta-analysis. Methods： Clinical reports of conservative treatment and operative treatment for children supracondylar humeral fractures were collect- ed, and then the data were analyzed with the statistical software Rev Man 5.1. Results. Data about 987 patients were pooled for meta-analysis. The results showed that the curative effect operative treatment in pediatric supracondylar humeral fractures was equivalent to that of conservative treatment, but the ex- cellent rate of conservative treatment was lower（OR=0.36, 95% （2： 0.24-0.56, P〈 0.00001） with statis- tics significance, and the fracture healing time of conservative treatment was shorter than that of opera- tive treatment（MD=-1.70, 95%CI： -1.54- 0.52, P〈0.00001） with statistics significance. There was no statistic significant difference in the cubitus varus incidence（OR=1.17, 95% CI： 0.75-1.83, P=0.49） and the nerve injury incidence（OR=0.54, 95% CI： 0.11-2.56, P=0.44） between the two methods. Conclu- sion= This results of meta-analysis demonstrated that operative treatment is equivalent to conservative treatment for children supracondylar humeral fractures, and the final individual treatment in clinic should be made according to the different cases.
出处
《新中医》
CAS
2013年第2期68-71,共4页
New Chinese Medicine
关键词
肱骨髁上骨折
儿童
保守治疗
手术治疗
META分析
： Supracondylar humeral fractures
Children
Conservative treatment
Operative treat- ment
Meta-analysis
