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髓内钉与钢板内固定治疗胫骨远端关节外骨折的Meta分析 被引量:1

Meta Analysis of Intramedullary Nail and Plate Internal Fixation for Distal Tibia Extra-articular Fractures
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摘要 目的:通过研究髓内钉与自锁髓内钉的治疗效果,探讨两种治疗方式治疗胫骨远端关节外骨折的效果,利用Meta进行相应的分析,为日后临床治疗提供参考。方法:通过计算机检索维普信息数据库、万方数据库等多个数据库的相关文献,搜集髓内钉与自锁髓内钉的治疗方式和效果,对比两种方式治疗胫骨远端关节外骨折的效果,将评价纳入研究的方法学质量。另外,在统计学软件方面,主要是采用Rev Man 5.0进行统计。结果:在纳入4个临床对照试验后,发现髓内钉的治疗效果与自锁髓内钉的治疗效果相当,治疗胫骨远端关节外骨折的效果都比较理想,可以根据患者的实际情况进行选择应用。结论:髓内钉与自锁髓内钉治疗胫骨远端关节外骨折的临床效果比较理想,在很多方面都取得了成功,不仅减少了患者的痛苦,还降低了术后感染的概率,因此可以在临床中推广应用。 Objective: By studying the intramedullary nail with self-locking intramedullary nail treatment effect, discusses two kinds of treatment methods for the treatment of tibial distal extra-articular fractures, using Meta analysis is performed, provide reference for clinical treatment in the future. Method: through the computer retrieval VIP information database, a database of ten thousand, and other related literature database, collecting intramedullary nail and the treatment and effect of self-locking intramedullary nail, compared to two kind of way for the treatment of tibial distal extra-articular fractures, will evaluate the methodological quality of included studies. In addition, in terms of statistical software, main is to use RevMan 5.0.Result: after into four controlled clinical trial, found that the therapeutic effect of intramedullary nail with self-locking intramedullary nail treatment effects are, for the treatment of tibial distal extra-articular fractures are ideal, can undertake choosing according to the actual situation of patients. Conclusion : intramedullary nailing with self-locking intramedullary nail to treat distal tibia extra-articular fractures of the clinical effect of ideal, in many respects, has obtained the success, not only reduces the pain of the patients, and reduce the probability of postoperative infection, thus can be applied in clinical.
作者 蒋正宇
机构地区 溧阳市人民医院
出处 《中外医学研究》 2014年第34期13-15,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 髓内钉 自锁髓内钉 骨折 lntramedullary nailing Self-locking intrameduUary nail Fracture
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