| 微创小切口与传统切口在全髋关节置换术中应用的系统评价 |
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| 引用本文： | 杨广忠,武玉福,杨晶,尹作祯,康辉,陈江涛. 微创小切口与传统切口在全髋关节置换术中应用的系统评价[J]. 中国骨与关节损伤杂志, 2009, 24(7): 604-607 |
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| 作者姓名： | 杨广忠 武玉福 杨晶 尹作祯 康辉 陈江涛 |
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| 作者单位： | 新疆医科大学第一附属医院,乌鲁木齐市,830054;新疆医科大学第一附属医院,乌鲁木齐市,830054;新疆医科大学第一附属医院,乌鲁木齐市,830054;新疆医科大学第一附属医院,乌鲁木齐市,830054;新疆医科大学第一附属医院,乌鲁木齐市,830054;新疆医科大学第一附属医院,乌鲁木齐市,830054 |
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| 摘 要： | 目的 评价全髋关节置换术应用小切口是否优于传统长切口.方法 收集所有关于微创小切口与传统切口在全髋关节置换术中应用比较的随机对照试验(RCT),按Cochrane协作网标准逐个进行质量评价和Meta分析.结果 共纳入3篇RCT,包括339例患者.3个研究显示微创小切口组在术中失血量、总失血量、手术用时方面少于传统长切口,术中、术后并发症发生率无统计学意义,而对于术后镇痛药物用量、患肢功能恢复、术后影像学评价及远期手术效果由于各试验采用了不同的评价指标,不能进行合并分析.结论 微创小切口和传统长切口都可以用于全髋关节置换术,采用微创小切口在术中失血量、总失血量、手术用时方面少于传统长切口.在术中及术后并发症方面,两种切口的差异无统计学意义.因本研究的样本量较小,纳入的研究数量少,缺乏足够的证据,尚需更多设计严格的研究以增加证据的强度.
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| 关 键 词： | 全髋关节置换术 微创 传统切口 随机对照试验 系统评价 |
Minimally Invasive vs Conventional Incision for Total Hip Arthroplasty: A Systematic Review |
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| Yang guangzhong,Wu yufu,Yang Jing,et al.. Minimally Invasive vs Conventional Incision for Total Hip Arthroplasty: A Systematic Review[J]. Chinese Journal of Bone and Joint Injury, 2009, 24(7): 604-607 |
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| Authors: | Yang guangzhong Wu yufu Yang Jing et al. |
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| Affiliation: | Yang guangzhong,Wu yufu,Yang Jing,et al. The First Affiliated Hospital of Xinjiang Medical University,Urimuqi,830054 |
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| Abstract: | Objective To evaluate whether the minimally invasive incision is better than conventional incision for total hip arthroplasty (THA). Methods All randomized controlled trials (RCTs ) about comparation between minimally invasive and conventional incision for total hip arthroplasty were identified and the quality of each were evaluated by using the standard provided by Cochrane Collaboration. Some results were Meta-analysised. Results Three RCTs were included. The combined results of meta-analysis showed that ... |
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| Keywords: | Total hip arthroplasty Minimally invasive Conventional incision Systematic review Randomized controlled trial |
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