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关节镜下腘窝囊肿切除术与传统开放手术治疗腘窝囊肿临床疗效比较的Meta分析 被引量:9
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作者 姚思成 孙宇 +3 位作者 张锡玮 邰贺 王月盈 陈崇民 《中国内镜杂志》 2022年第1期8-17,共10页
目的系统评价关节镜下腘窝囊肿切除术与传统开放手术治疗腘窝囊肿的效果,为临床医生选择腘窝囊肿切除术式时提供更佳的循证医学依据。方法纳入对照组为传统开放切除手术,观察组为关节镜下切除腘窝囊肿联合关节清理术的随机对照试验与回... 目的系统评价关节镜下腘窝囊肿切除术与传统开放手术治疗腘窝囊肿的效果,为临床医生选择腘窝囊肿切除术式时提供更佳的循证医学依据。方法纳入对照组为传统开放切除手术,观察组为关节镜下切除腘窝囊肿联合关节清理术的随机对照试验与回顾性队列研究。通过检索中国知网(CNKI)、万方、维普(VIP)、PubMed、The CochraneLibrary和Web ofScience数据库近十年的相关文献941篇,排除重复文献、数据无法提取的文献、未设置对照组的文献和质量较差的文献,最后纳入文献24篇(中文文献23篇,英文文献1篇),选取手术有效率、术后复发率、并发症率、视觉模拟评分(VAS)、Lysholm功能评分、术中出血量、手术切口长度作为分析指标。使用Cochrane协作网提供的Review Manager 5.3软件进行系统评价与Meta分析。结果纳入的24篇文章中包含1559例病例,关节镜手术组有效率(OR=0.24,95%CI:0.14~0.41,P=0.000)和Lysholm功能评分(SMD=-2.75,95%CI:-3.64~-1.85,P=0.000)较传统手术组高,并发症发生率(O R^=4.01,95%CI:1.55~10.40,P=0.004)、VAS评分(MD=1.55,95%CI:1.36~1.75,P=0.000)和术后复发率(OR=6.33,95%CI:3.70~10.84,P=0.000)较传统手术组低,术中出血量较传统手术组少(SMD=7.67,95%CI:5.64~9.70,P=0.000),手术切口长度较传统手术组短(SMD=6.16,95%CI:4.94~7.37,P=0.000)。结论关节镜下腘窝囊肿切除术与传统开放手术具有手术有效率高、术后复发率低、并发症少、术后疼痛轻、膝关节功能评分好、术中出血量少和手术切口小等优势。 展开更多
关键词 腘窝囊肿 关节镜 手术治疗 META分析 关节清理术
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一种筛查中国人遗传性耳聋和氨基糖苷耳毒性易感人群的分子遗传学方法(英文)
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作者 Xi-yuHE yue-yingwang +2 位作者 PuDAI JiangGU Tian-jianCHENI 《北京大学学报(医学版)》 CAS CSCD 北大核心 2005年第1期51-54,共4页
Objective: To develop a molecular screening test for genetic defects on hearing loss related genes has significant impacts on early identification of hereditary hearing loss and genetic susceptibility to aminoglycosid... Objective: To develop a molecular screening test for genetic defects on hearing loss related genes has significant impacts on early identification of hereditary hearing loss and genetic susceptibility to aminoglycoside ototoxicity. Early identification of pre-lingual hearing loss is very important for patient’s language development, academic achievement, and social skill. Two common mutations, the 235delC in GJB2 gene and the mutation A1555G in mitochondrial DNA, are included in the newly developed screening panel for Chinese population. Methods: A molecular genetic assay, based on fluorescent labeled multiplex PCR and automatic DNA fragment analyzing techniques, was developed to detect both mutations simultaneously. Results: This assay was able to detect both mutations from patient’s samples, and pooled DNA tests, as well as suitable to detect mutation from the DNA extracted from dried blood spot and buccal swab. Conclusion: This assay could be a useful tool for newborn screening and carrier screening for the hereditary hearing loss for the Chinese population. 展开更多
关键词 分子筛查 DNA 线粒体 遗传性耳聋 氨基糖苷
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