Objective To sum up the clinical experience in diagnosis and treatment of spinal primitive neuroectodermal tumor(PNET). Methods Thirteen patients with spinal PNET were included in the study from 1999 to 2009.There wer...Objective To sum up the clinical experience in diagnosis and treatment of spinal primitive neuroectodermal tumor(PNET). Methods Thirteen patients with spinal PNET were included in the study from 1999 to 2009.There were 8 males and 5展开更多
文摘目的通过对相关文献进行meta分析,了解锁定钢板内固定(LPF)与半肩关节置换(HAP)治疗老年人粉碎性肱骨近端骨折疗效等方面的差异,评价2种手术方法的优劣。方法计算机检索Pubmed、Cochrane library等外文数据库及万方、维普等中文数据库自2005年1月至2016年4月期间发表的有关LPF与HAP治疗老年人粉碎性肱骨近端骨折的前瞻性随机对照研究,评价纳入文献的质量并提取数据,采用Rev Man 5.3软件进行meta分析。结果纳入9篇符合标准的文献,共550例患者,其中LPF组274例,HAP组276例,meta分析结果如下:在CMS评分、ASES评分的比较上,LPF组优于HAP组,在手术时间、术中出血量、术后引流量及住院时间的比较上,HAP组优于LPF组,LPF组与HAP组的术后Neer评分优良率、术后并发症发生率的差异无统计学意义(P<0.05)。结论 LPF与HAP治疗老年人粉碎性肱骨近端骨折各有利弊。若患者对术后肩关节功能要求较高,可选择LPF;若患者骨质疏松严重,身体条件不佳且功能要求不是太高,HAP是一种比较好的选择。
文摘Objective To sum up the clinical experience in diagnosis and treatment of spinal primitive neuroectodermal tumor(PNET). Methods Thirteen patients with spinal PNET were included in the study from 1999 to 2009.There were 8 males and 5
