经皮加压钢板与动力髋螺钉治疗股骨转子间骨折的Meta分析

A Meta-analysis on comparing efficacy of percutaneous compression plate with dynamic hip screw in treating intertrochanteric hip fractures

目的分析经皮加压钢板(PCCP)和动力髋螺钉(DHS)治疗股骨转子间骨折的有效性和安全性。方法检索PubMed、OVID MEDLINE、中国生物医学文献数据库、万方数据库、维普数据库和中国知网等2000—2014年PCCP和DHS治疗股骨转子间骨折的相关文献,采用Stata 11.0软件对其进行Meta分析。结果本研究纳入12篇文献,共计1056例患者;其中,PCCP组506例,DHS组550例。Meta分析结果:与DHS组比较,PCCP组的手术用时短、术中出血少、术后主要并发症少、住院时间短、术后髋关节功能恢复较好(P<0.05);但两组骨折愈合时间和术后病死率并无统计学差异(P>0.05)。结论 PCCP治疗股骨转子间骨折的临床疗效优于DHS。

Objective To analyze the efficacy and safety of percutaneous compression plate （PCCP） with dynamic hip screw（DHS） in treating intertrochanteric hip fractures. Methods The domestic literatures related to clinical trials of treating intertrochanteric hip fractures with PCCP and DHS were collected by searching PubMed, OVID MEDLINE, the Chinese biomedical literature database,Wanfang database, Weipu database and CNKI in the years from 2000 to 2014. A Meta-analysis was performed using Stata 11.0 software. Results There were 12 literatures qualified including 1056 cases（506 cases in group PCCP and 550 cases in group DHS）. Meta analysis showed that the patients in group PCCP had less operation time and blood loss during surgery, less major complications, shorter hospital stay and better recovery of hip joint function than those in group DHS （P〈0. 05）. There were no differences in bone healing time and mortality after operation between two groups（P〉0. 05）. Conclusion The efficacy of PCCP for treating intertrochanteric hip fractures is superior to that of DHS.