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不同干预措施治疗腕舟骨骨折的网状Meta分析
引用本文:魏婧韬,刘宇洲,劳杰.不同干预措施治疗腕舟骨骨折的网状Meta分析[J].中华手外科杂志,2021(1):1-4.
作者姓名:魏婧韬  刘宇洲  劳杰
作者单位:复旦大学附属华山医院手外科
基金项目:国家自然科学基金面上项目(81972122)。
摘    要:目的:采用网状Meta分析系统评价石膏固定、空心螺钉、Herbert螺钉、克氏针固定四种干预措施治疗腕舟骨骨折的疗效。方法:检索建库至2019年12月31日的PubMed、EMbase、Cochrane Library、Clinical Trial、中国学术期刊网络出版总库(CNKI)、中国生物医学文献数据库(CBMd...

关 键 词:舟骨  骨折  石膏固定  空心螺钉  Herbert螺钉  克氏针

Different interventions for the treatment of scaphoid fractures:a network meta-analysis
Wei Jingtao,Liu Yuzhou,Lao Jie.Different interventions for the treatment of scaphoid fractures:a network meta-analysis[J].Chinses Journal of Hand Surgery,2021(1):1-4.
Authors:Wei Jingtao  Liu Yuzhou  Lao Jie
Institution:(Department of Hand Surgeryr Huashan Hospital,Key Laboratory of Hand Reconstruction,Ministry of Health,Shanghai Key Laboratory of Peripheral Nerve and Microsurgery,Shanghai 200040,China)
Abstract:Objective To assess the clinical efficacy of different interventions(plaster fixation,Acutrak screw,Herbert screw,Kirschner wires)for the treatment of scaphoid fractures by network meta-analysis system.Methods The randomized controlled trials(RCTs)of scaphoid fractures in PubMed,EMBASE,Cochrane Library,Clinical Trial,CNKI,CBMdisc,VIP,Wanfang Med Online from the establishment of the database to December 31,2019 were searched.Stata 16.0 was used to conduct network meta-analysis and mapping for the literature data meeting the inclusion criteria.Results A total of sixteen studies involving 1193 patients were included.The results of network meta-analysis showed that the clinical efficacy of Acutrak screw,Herbert screw,Kirschner wires was better than that of plaster fixation,and the healing time was shorter than that of plaster fixation.Conclusion The effective rate and healing time of scaphoid fractures in SUCRA order were Acutrak screw>Herbert screw>Kirschner wires>Plaster fixation.Therefore,Acutrak screw is the most likely to be the best measure.
Keywords:Scaphoid bone  Fractures  bone  Plaster fixation  Acutrak screw  Herbert screw  Kirschner wires
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