腹直肌旁入路治疗骨盆髋臼骨折疗效的meta分析  

Meta-analysis of the therapeutic efficacy of the pararectus approach in the treatment of pelvic and acetabular fractures

作　　者：任保亮 李楠 REN Baoliang;LI Nan(Department of Orthopedics and Traumatology,Liaocheng Traditional Chinese Medicine Hospital,Shandong,Liaocheng 252000,China)

机构地区：[1]山东省聊城市中医医院骨伤科,山东聊城252000

出　　处：《中国医药科学》2024年第18期159-162,共4页China Medicine And Pharmacy

基　　金：山东省医药卫生科技发展计划项目(202204070834)。

摘　　要：目的系统评价腹直肌旁入路治疗骨盆髋臼骨折的疗效。方法检索中国知网、万方、维普网、PubMed、EMBASE、Cochrane Library数据库中研究腹直肌旁入路与改良Stoppa入路治疗骨盆髋臼骨折疗效的文献,检索年限为2014年1月1日至2023年12月31日,提取骨折复位质量(Matta评分)、Harris评分、改良Merle D’Aubigne-Poste L髋关节评估系统、并发症数量数据,运用RevMan 5.1软件进行meta分析。结果试验组骨折复位质量(Matta评分)更高,OR=1.62,95%CI(1.11,2.35),P=0.01;试验组并发症更少,OR=0.57,95%CI(0.43,0.75),P<0.0001;两组髋关节功能相当,Harris评分OR=1.36,95%CI(0.80,2.30),P=0.26;改良的Merle D’Aubigne和Postel L评分系统(计数)OR=1.24,95%CI(0.46,3.36),P=0.67,改良的Merle D’Aubigne和Postel L评分系统(计量)MD=0.07,95%CI(-0.26,0.40),P=0.70。结论腹直肌旁入路治疗骨盆髋臼骨折对比改良Stoppa入路,并发症少,复位质量更高但差异较小,髋关节功能无差异。Objective To systematically evaluate the efficacy of the par arectus approach in the tr eatment of pelvic and acetabular fractures.Methods The CNKI,Wanfang,VIP,PubMed,EMBASE,Cochrane Library were searched for literatures on the curative effect of pararectus approach and modified Stoppa approach in the treatment of pelvic and acetabular fractures.The retrieval period was from January 1,2014 to December 31,2023.The data of fracture reduction quality(Matta score),Harris score,modified Merle D’Aubigne-Poste L hip joint evaluation system and the number of complications were extracted,and the meta-analysis was carried out by using RevMan 5.1 software.Results The fracture reduction quality(Matta score)of the experimental group was higher,with OR=1.62,95%CI(1.11,2.35),P=0.01.The experimental group had fewer complications,with OR=0.57,95%CI(0.43,0.75),P<0.0001.The hip joint functions of the two groups were equivalent,with Harris score OR=1.36,95%CI(0.80,2.30),and P=0.26.The modified Merle D’Aubigne and Postel L scoring system(counting)had an OR of 1.24,95%CI(0.46,3.36),and P=0.67.The modified Merle D’Aubigne and Postel L scoring system(measurement)had an MD of 0.07,95%CI(-0.26,0.40),and P=0.70.Conclusion Compared with the modified Stoppa approach,the pararectus approach in the treatment of pelvic and acetabular fractures showed fewer complications,higher reduction quality but little difference,and no difference in hip function.

关 键 词：腹直肌旁入路 Stoppa入路 骨盆髋臼骨折 META分析 

分 类 号：R687.3[医药卫生—骨科学]