全髋与半髋关节置换术治疗老年股骨颈骨折的系统评价被引量：26

Total hip arthroplasty versus hemiarthroplasty for femoral neck fracture in the elderly: A system review

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摘要目的对全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折的疗效进行系统评价。方法在Pubmed、Cochrane Library、EMBASE、Science Direct以及CNKI、CBM、中国医学学术会议论文数据库等网站进行检索,文献检索起止时间为1985年1月～2011年3月,再对入选文献的参考文献进行手工检索,收集所有相关随机对照试验,并评价纳入研究的方法学质量,采用Cochrane协作网提供的软件R evman 4.2进行Meta-分析,以获得相关证据。结果共检索到106篇原始文献,有8篇符合最终的入选标准,总计随访患者919例。研究显示全髋置换组在术后再次手术方面优于半髋置换组,术后疼痛、术后并发症发生率、术后功能恢复及病死率无统计学意义。结论在老年移位型股骨颈骨折治疗中,全髋关节置换组在术后再次手术方面优于半髋置换组,值得临床推荐。 [ Objective ] A systematic review was conducted to assess the effects of total hip arthroplasty and hemiarthroplasty treatment of femoral neck fracture in the elderly. [ Methods ] Using PubMed, Cochrane Library, EMBASE, Science Direct, CNKI, CBM and CMAC, the author performed a literature search for all the studies pub- lished in the English and Chinese languages from January 1985 to March 2011, reporting patients undergoing THA with minimally invasive incision. The bibliographic sections of identified papers were manually searched to identify additional papers. The Revman 4.2 provided by the Cochrane Collaboration was used for management and analysis. Meticulous data extraction and meta analysis was performed according to a preset protocol to gain correlated evidence. [Results] In 106 citations initially identified, 8 eligible papers, which included 919 followed-up patients, met all the final criteria. The combined results of meta-analysis showed that compared with hemiarthroplasty, total hip arthroplasty could reduce Re-operation in postoperative, but the rate of the pain and complications, mortality and mobility had no difference. [ Conclusion ] Compared with hemiarthroplasty, total hip arthroplasty for the treatment of a displaced femoral neck fracture in the elderly could reduce Re-operation in postoperative, deserved to be recommended.

作者王晓旭刘珏

机构地区南华大学附属第二医院骨科南华大学循证医学教研室

出处《中国现代医学杂志》 CAS CSCD 北大核心 2011年第36期4547-4550,4554,共5页 China Journal of Modern Medicine

关键词全髋关节置换半髋关节置换人工关节置换股骨颈骨折随机对照试验 Total hip arthroplasty Hemiarthroplasty Arthroplasty Femoral neck fractures Randomized controlled trial

分类号 R684 [医药卫生—骨科学]

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参考文献13

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