摘要
目的 系统评价垂直与平行双钢板治疗肱骨远端C型骨折的临床疗效.方法 以垂直双钢板、平行双钢板、后入路、肱骨远端C型骨折为关键词检索PubMed、Embase、Cochrane library、CMB、CNKI、Medline数据库.检索时间从建库至2015年12月.收集符合纳入排除标准的随机对照研究,使用RevMan 5.2软件对所选文献进行Meta分析.结果 共纳入6篇随机对照研究文献,共284例患者,其中垂直双钢板组155例,平行双钢板组129例.Meta分析结果显示,与垂直双钢板组相比,平行双钢板组术后并发症发生率低,差异有统计学意义（OR=2.59,95％CI：1.03～6.53,P=0.04）;手术时间（MD=-1.84,95％ CI：-9.06～5.39,P=0.62）、骨折愈合时间（MD=0.09,95％CI：-0.06～0.24,P=0.22）、Mayo肘关节功能评分（MD=0.09,95％ CI：-0.06～0.24,P=0.22）、肘关节活动度（MD=-0.92,95％CI：-4.65～2.81,P=0.63）、优良率（OR=0.64,95％CI：0.27～ 1.52,P=0.31）差异无统计学意义.结论 两种内固定方式在成人肱骨远端C型骨折中均取得了良好的疗效,平行双钢板内固定在减少并发症方面更具优势.
Objective To evaluate the effects of parallel versus perpendicular double plating for distal humerus fracture of type C.Methods A standardized comprehensive literature search was performed by PubMed,Embase,Cochrane library,CMB,CNKI and Medline datebase.Randomized controlled studies on comparison between parallel versus perpendicular double plating for distal humerus fracture of type C before December 2015 were enrolled in the study.All date were analyzed by the RevMan 5.2 software.Results Six studies,including 284 patients,met the inclusion criteria.There were 155 patients in perpendicular double plating group,129 patients in parallel double plating group.The results of Metaanalysis indicated that there were statistically significant difference between the two groups in complications （OR =2.59,95%CI：1.03 to 6.53,P =0.04）.There was no significant difference between the two groups in surgical duration （MD=-1.84,95% CI：-9.06 to 5.39,P=0.62）,bone union time （MD=0.09,95%CI：-0.06 to 0.24,P=0.22）,Mayo Elbow Performance Score （MD=0.09,95%CI：-0.06 to 0.24,P=0.22）,Range of Motions （MD=-0.92,95%CI：-4.65 to 2.81,P=0.63） and the rate of excellent and good results （OR=0.64,95%CI：0.27 to 1.52,P=0.31）.Conclusion Both perpendicular and parallel double plating are effective in distal humerus fracture of type C,parallel double plating has less complications.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2017年第8期626-631,共6页
Chinese Journal of Surgery
关键词
肱骨骨折
META分析
后入路
垂直双钢板
平行双钢板
Humeral fractures
Meta-analysis
Posterior approach
Perpendicular double plating
Parallel double plating
