| 同期和分期双膝关节置换安全性的Meta分析 |
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| 引用本文： | 罗世兴,赵劲民,苏伟,沙轲,韦庆军. 同期和分期双膝关节置换安全性的Meta分析[J]. 中国矫形外科杂志, 2010, 18(3): 195-200 |
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| 作者姓名： | 罗世兴 赵劲民 苏伟 沙轲 韦庆军 |
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| 作者单位： | 广西医科大学第一附属医院创伤骨科,南宁,530021 |
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| 摘 要： | [目的]比较双膝关节置换的同期和分期治疗的主要并发症差异,系统评价两种不同手术方式的安全性.[方法]检索Medline、Embase、Cochrane library、中国CBM,收集双膝关节置换的同期和分期治疗的对照试验,提取数据进行分析,采用统计软件RevMan5.0.18进行Meta分析.[结果]纳入18个临床对照试验,共101 084例手术,其中SB-TKA 26 536例,Staged B-TKA 74 548例.Meta分析的结果显示,前者术后1个月内死亡率(OR=2.92)、3个月内的死亡率(OR=2.11)和肺栓塞发生率(OR=2.46)均高于后者,两组比较有统计学差异.[结论]目前证据表明,双膝关节置换手术组的术后1个月内死亡率、3个月内的死亡率和肺栓塞率高于分期治疗手术组.围手术期主要死因是心肺并发症.但还需要开展更多高质量的临床随机对照试验以增加证据的强度.
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| 关 键 词： | 膝关节成形术 置换 膝 手术 并发症 Meta分析 |
Simultaneous versus staged bilateral total knee arthroplasty:a meta-analysis |
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| LUO Shi-xing,ZHAO Jin-min,SU Wei,et al.. Simultaneous versus staged bilateral total knee arthroplasty:a meta-analysis[J]. Orthopedic Journal of China, 2010, 18(3): 195-200 |
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| Authors: | LUO Shi-xing ZHAO Jin-min SU Wei et al. |
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| Affiliation: | LUO Shi-xing,ZHAO Jin-min,SU Wei,et al.Department of Trauma Orthopedics,the First Affiliated Hosptial of Guangxi Medical University,Nanning,Guangxi 530021,China |
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| Abstract: | [Objective]To compare the complications of simultaneous versus staged bilateral total knee arthroplasty.[Methods]The databases of Cochrane library,Medline,Embase and Chinese Biomedical Databases were searched online.All the trials comparing simultaneous versus staged bilateral total knee arthroplasty were included.Methodology quality of the trials was assessed and the data of the complications in both groups was extracted,and the RevMan 5.0.18 was used for data-analysis.[Results]In this study,18 controlled ... |
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| Keywords: | total knee arthroplasty replacement knee surgery complication Meta-analysis |
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