关节造影在儿童肱骨远端骨骺分离中应用的meta分析

Meta-Analysis of Arthrography in Separation of Distal H lumerus Epiphysis in Children

目的探讨关节造影在儿童肱骨远端骨骺分离中的应用,通过meta分析评估其效果和价值。方法通过检索万方数据库、维普数据库、中国知网(CNKI)、Ringer、SpringerLink、Google Scholar、PubMed等数据库,采用Review Manager 5.3软件进行meta分析,将关节造影组作为试验组,将常规X线检查组作为对照组,对比两组术前误诊及术后出现并发症的差异。结果共检索符合标准的英文文献10篇,中文文献36篇,经过筛选符合标准的文献共8篇,经过meta分析显示,试验组误诊率下降(OR=0.20,95%CI:0.08~0.50,P<0.001,I^(2)=0);术后并发症减少(OR=0.10,95%CI:0.03~0.35,P<0.001,I^(2)=0)。结论儿童肱骨远端骨骺分离诊治中肘关节造影有明显优势,值得推广。

Objective To investigate the application of arthrography in the separation of distal humeral epiphysis in children,and to evaluate its effect and value through meta-analysis.Methods By searching Wanfang Database,VIP Database,CNKI,Ringer,SpringerLink,Google Scholar,PubMed and other databases,and using Review Manager 5.3 software for meta-analysis.The arthrography examination group was considered as the experimental group and routine X-ray group as the control group,the differences in preoperative misdiagnosis and postoperative complications between the two groups were compared.Results A total of 10 English literature,36 Chinese literature,and 8 standard literature were screened,and meta-analysis showed that the misdiagnosis rate in the experimental group was reduced(OR=0.20,95%CI:0.08-0.50,P<0.001,I^(2)=0).Postoperative complications were reduced(OR=0.10,95%CI:0.03-0.35,P<0.001,I^(2)=0).Conclusion Elbow arthrography has obvious advantages in the diagnosis and treatment of distal humeral epiphyseal separation in children,which is worthy of promotion.