摘要
背景:全髋关节置换SuperPATH入路比传统手术相比多了很多优势,但是其是否具有和传统后侧入路一样的良好疗效仍存在争议。目的:通过Meta分析比较SuperPATH与传统后侧入路行全髋关节置换的临床疗效差异。方法:检索国内外于2016至2018年已发表的临床对照研究。所检索的数据库包括Embase、PubMed、Central、Cinahl、PQDT、Cochrane Library、中国知网、维普、万方、CBM等数据库。提取数据后,采用Review Manager 5.3软件进行数据分析。结果与结论:①依据以上检索策略,最终纳入16篇文献;②通过比较发现,在行全髋关节置换时,SuperPATH入路术后Harris髋关节评分[95%CI(3.34,5.90),P <0.001]及手术所需时间[95%CI(3.30,20.26),P=0.007]多于传统后外侧入路,差异均有显著性意义;③而SuperPATH入路术后髋关节活动度[95%CI(1.28,-1.40),P <0.000 1]、术后目测类比评分[95%CI(-2.99,-1.49),P <0.001]、手术切口长度[95%CI(-7.00,-4.70),P <0.001]、手术失血量[95%CI(-131.97,-92.87),P <0.001]均小于传统后外侧入路组,差异均有显著性意义;④SuperPATH入路术后首次负重时间[95%CI(-93.94,-64.55),P <0.001]短于传统后外侧入路组,差异有显著性意义;⑤结果表明,SuperPATH入路较传统后外侧入路行全髋关节置换具有更好的效果,尤其是在Harris髋关节评分、目测类比评分、手术切口长度、手术失血量及术后首次负重时间等方面。
BACKGROUND: SuperPATH approach in total knee arthroplasty has many advantages over traditional surgery, but whether it has the same good efficacy as traditional posterior approach is still controversial. OBJECTIVE: To compare the clinical efficacy between SuperPATH approach and traditional posterior approach in the treatment of total hip arthroplasty by meta-analysis. METHODS: The clinical controlled trials published from 2016 to 2018 were retrieved. The retrieval was performed in the databases of Embase, PubMed, Central, Cinahl, PQDT, Cochrane Library, CNKI, VIP, WanFang and CBM. Review Manager 5.3 software was used for data analysis. RESULTS AND CONCLUSION:(1) Sixteen eligible articles were included.(2) Results analysis showed that the SuperPATH approach was superior to traditional posterior approach in Harris hip score [95%CI (3.34, 5.90), P < 0.001], and operation time [95%CI (3.30, 20.26), P=0.007].(3) The SuperPATH approach was inferior to posterior approach in range of motion [95%CI (1.28,-1.40), P < 0.000 1], Visual Analogue Scale score [95%CI (-2.99,-1.49), P < 0.001], incision length [95%CI (-7.00,-4.70), P < 0.001], and blood loss [95%CI (-131.97,-92.87), P < 0.001].(4) The first weight-bearing time in the SuperPATH approach was shorter than that in the posterior approach [95%CI (-93.94,-64.55), P < 0.001].(5) These results indicate that the SuperPATH approach in total hip arthroplasty can achieve better effect than traditional posterior approach, especially in Harris hip score, Visual Analogue Scale score, incision length, blood loss, and first weight-bearing time.
作者
车先达
韩鹏飞
顾晓东
高阳阳
陈韬予
李鹏翠
Che Xianda;Han Pengfei;Gu Xiaodong;Gao Yangyang;Chen Taoyu;Li Pengcui(Department of Orthopedics, the Second Clinical Medical College of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China;Laboratory for Bone and Cartilage Injury Repair of the Second Clinical Medical College of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China)
出处
《中国组织工程研究》
CAS
北大核心
2019年第24期3901-3908,共8页
Chinese Journal of Tissue Engineering Research
基金
国家自然科学基金青年基金(81601949)
项目负责人:李鹏翠
山西省回国留学人员科研资助项目(2016-118)
项目负责人:李鹏翠
山西省高等学校科技创新项目(20161119)
项目负责人:李鹏翠
山西医科大学科技创新基金(01201509)
项目负责人:李鹏翠~~
