| 全髋关节置换与双极人工股骨头置换治疗老年股骨颈骨折的Meta分析 |
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| 引用本文： | 李国威,董明岩,张海飞,阎雪. 全髋关节置换与双极人工股骨头置换治疗老年股骨颈骨折的Meta分析[J]. 中国组织工程研究与临床康复, 2011, 15(22): 4061-4064. DOI: 10.3969/j.issn.1673-8225.2011.22.017 |
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| 作者姓名： | 李国威 董明岩 张海飞 阎雪 |
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| 作者单位： | 1. 辽宁医学院附属第一医院骨科,骨脊柱及骨病病区,辽宁省锦州市,121001
2. 中国医科大学附属第四医院骨科,辽宁省沈阳市,110032 |
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| 摘 要： | 背景:采用双极人工股骨头或全髋关节置换,可以较快速地重建髋关节功能,是目前治疗老年股骨颈骨折比较理想而可靠的方法。目的:通过Meta分析对全髋关节置换与双极人工股骨头置换治疗老年股骨颈骨折的疗效进行系统评价。方法:计算机检索下列数据库:Medline(1990/2011-03,Ovid检索平台),Embase(1984/2011-03),CochraneCentralRegisterofControlledTrial(Issue2,2011),CurrentControlledTrials,中国生物医学文献数据库(1986/2011-03)。手工检索相关杂志。纳入全髋关节置换与双极人工股骨头置换治疗老年股骨颈骨折的随机对照试验,按照CochraneHandbook5.1进行严格的质量评估,采用RevMan5.1.1软件进行Meta分析。结果与结论:共纳入6个随机对照试验,共899例患者。Meta分析结果显示,与双极人工股骨头置换比较,全髋关节置换后Harris评分显著提高,但在需二次手术人数、术后发生脱位人数、1年死亡率、并发症等方面两者差异无显著意义。全髋关节置换在手术时间、术中出血量、术后卧床时间、置换后住院时间、住院总费用等方面均较双极人工股骨头置换显著增多。
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| 关 键 词： | 全髋关节置换 双极人工股骨头置换 股骨颈骨折 随机对照试验 Meta分析 老年 |
Total hip replacement and bipolar hemiarthroplasty for femoral neck fracture in the elderly: A Meta analysis |
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| Li Guo-wei,Dong Ming-yan,Zhang Hai-fei,Yan Xue. Total hip replacement and bipolar hemiarthroplasty for femoral neck fracture in the elderly: A Meta analysis[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(22): 4061-4064. DOI: 10.3969/j.issn.1673-8225.2011.22.017 |
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| Authors: | Li Guo-wei Dong Ming-yan Zhang Hai-fei Yan Xue |
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| Affiliation: | Li Guo-wei1,Dong Ming-yan1,Zhang Hai-fei2,Yan Xue11Department of Orthopedics,First Affiliated Hospital of Liaoning Medical University,Jinzhou 121001,Liaoning Province,China,2Department of Orthopedics,Fourth Affiliated Hospital of China Medical University,Shenyang 110032 |
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| Abstract: | BACKGROUND:Bipolar hemiarthroplasty or total hip replacement can quickly recover hip function,which is the ideal and reliable treatment of femoral neck fracture in the elderly.OBJECTIVE:To systemically assess the effects of bipolar hemiarthroplasty and total hip replacement on femoral neck fracture in the elderly through a Meta analysis.METHODS:Medline(1990/2011-03),Embase(1984/2011-03),Cochrane Central Register of Controlled Trial(Issue 2,2011),Current Controlled Trials,and CMB(1986/2011-03) were searched ... |
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| 本文献已被 CNKI 万方数据 等数据库收录！ |
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