儿童肱骨髁上骨折急诊与延期手术治疗的对比研究

目的 在较大样本量的前提下评价儿童肱骨髁上骨折急诊手术与延期手术的疗效.方法 收集国内外儿童肱骨髁上骨折急诊手术与延期手术对照文献,对结果进行Meta分析.其中,试验组为急诊手术,对照组为延期手术.疗效及差异评价指标OR以95%CI表示,P＜0.05为差异有统计学意义.统计学分析采用Review Manager 4.2软件.结果 纳入分析的是国外5个随机对照研究,Meta分析结果显示,急诊手术与延期手术在闭合复位失败转化为开放手术不存在显著性差异OR=0.62,95%CI(0.37,1.03),P=0.06].并发症不存在显著性差异OR=1.10,95%CI(0.65,1.84),P=0.73].结论 完善术前准备的情况下应该尽早对儿童移位肱骨髁上骨折进行手术治疗,但不推荐急诊手术.

Abstract：

Objective To compare early and delayed operation for humeral supracondylar fracture in children. Methods Computer-based online search all database was performed to collect contrast studies on early and delayed operation in the treatment of humeral supracondylar fracture in children,and meta-analysis was performed on the results. Early operation group was compared to the delayed operation group (control). Differences in efficacy and evaluation indicators were odds ratio (OR),weighted mean difference and 95% confidence interval (CD. Review Manager 4. 2 was used for statistical analysis. Results A total of 3 randomized, controlled trials by foreign researches were collected.Meta analysis showed that there is no significant difference between the two groups in open operation OR = 0. 62,95 %CI(0. 37,1.03), P = 0. 06 and complication OR = 1.10,95 %CI(0. 65,1.84), P = 0. 73.Conclusions We should deal with humeral supracondylar fracture in children as soon as feasible. Emergency operation is not recommended.

Comparison of early and delayed operation for humeral supracondylar fracture in children

Objective To compare early and delayed operation for humeral supracondylar fracture in children. Methods Computer-based online search all database was performed to collect contrast studies on early and delayed operation in the treatment of humeral supracondylar fracture in children,and meta-analysis was performed on the results. Early operation group was compared to the delayed operation group (control). Differences in efficacy and evaluation indicators were odds ratio (OR),weighted mean difference and 95% confidence interval (CD. Review Manager 4. 2 was used for statistical analysis. Results A total of 3 randomized, controlled trials by foreign researches were collected.Meta analysis showed that there is no significant difference between the two groups in open operation OR = 0. 62,95 %CI(0. 37,1.03), P = 0. 06 and complication OR = 1.10,95 %CI(0. 65,1.84), P = 0. 73.Conclusions We should deal with humeral supracondylar fracture in children as soon as feasible. Emergency operation is not recommended.