[1]王 涛,娄园一,黄勇彬,等.外固定架和克氏针治疗儿童肱骨髁上骨折的Meta分析[J].医学信息,2023,36(13):38-44.[doi:10.3969/j.issn.1006-1959.2023.13.007]
　WANG Tao,LOU Yuan-yi,HUANG Yong-bin,et al.Meta-analysis of External Fixator and Kirschner Wire in the Treatment of Supracondylar Fracture of Humerus in Children[J].Journal of Medical Information,2023,36(13):38-44.[doi:10.3969/j.issn.1006-1959.2023.13.007]
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外固定架和克氏针治疗儿童肱骨髁上骨折的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年13期
页码:
38-44
栏目:
医学数据科学
出版日期:
2023-07-01

文章信息/Info

Title:
Meta-analysis of External Fixator and Kirschner Wire in the Treatment of Supracondylar Fracture of Humerus in Children
文章编号:
1006-1959（2023）13-0038-07
作者:
王 涛; 娄园一; 黄勇彬; 等
（1.广东医科大学第一临床医学院，广东 湛江 524000；2.广东医科大学附属医院骨科中心，广东 湛江 524000）
Author(s):
WANG Tao; LOU Yuan-yi; HUANG Yong-bin; et al.
(1.The First Clinical School of Guangdong Medical University,Zhanjiang 524000,Guangdong,China;2.Orthopaedic Center of Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,Guangdong,China)
关键词:
肱骨髁上骨折; 儿童; 外固定架
Keywords:
Supracondylar fracture of humerus; Child; External fixator
分类号:
R726.8
DOI:
10.3969/j.issn.1006-1959.2023.13.007
文献标志码:
A
摘要:
目的 比较外固定架和克氏针治疗儿童肱骨髁上骨折的疗效。方法 计算机检索PubMed、The Cochrane Library、EMbase、中国知网、万方数据库、维普网等数据库，检索时间为建库以来至2022年4月。检索所有有关于外固定架和克氏针治疗儿童肱骨髁上骨折的文献，根据纳入和排除标准筛选出符合要求的文献。并进行文献质量评估，提取有效数据，包括并发症发生率、Flynn肘关节功能评分、术后提携角及Baumann角变化、手术持续时间及术中透视次数等。利用RevMan 5.4软件进行Meta分析。结果 共纳入7篇回顾性队列研究，2篇随机对照实验，文献整体质量较高。共513例患儿，其中外固定架组238例，克氏针组275例。Meta分析结果显示：外固定架和克氏针治疗儿童肱骨髁上骨折在并发症发生率（RR=0.67，95%CI：0.28~1.61，P=0.37）、术后Flynn肘关节功能评分（RR=1.01，95%CI：0.96~1.06，P=0.82）、术后提携角变化（MD=0.32，95%CI：0.66~1.30，P=0.52）、术后Baumann角变化（MD=1.44，95%CI：7.29~4.41，P=0.63）、手术时间（MD=1.93，95%CI：15.1~18.95，P=0.82）、术中透视次数（MD=2.17，95%CI：8.5~4.16，P=0.50）比较，差异无统计学意义。结论 外固定架治疗儿童肱骨髁上骨折的疗效与传统克氏针相当。
Abstract:
Objective To compare the efficacy of external fixator and Kirschner wire in the treatment of supracondylar fracture of humerus in children.Methods Databases such as PubMed, The Cochrane Library, EMBase, China National Knowledge Infrastructure, Wanfang Database, and VIP were searched by computer from the establishment of the database to April 2022. Retrieve all the literature on the treatment of supracondylar fracture of humerus in children with external fixator and Kirschner wire, and select the literature that meets the requirements according to the inclusion and exclusion criteria. The quality of the literature was evaluated, and the effective data were extracted, including the incidence of complications, Flynn elbow function score, postoperative carrying angle and Baumann angle change, operation duration and intraoperative fluoroscopy times. Meta-analysis was performed using RevMan 5.4 software.Results A total of 7 retrospective cohort studies and 2 randomized controlled trials were included. The overall quality of the literature was high. A total of 513 children were enrolled, including 238 children in the external fixator group and 275 children in the Kirschner wire group. The results of Meta-analysis showed that there was no significant difference in the incidence of complications (RR=0.67,95%CI:0.28-1.61,P=0.37), postoperative Flynn elbow function score (RR=1.01,95%CI:0.96-1.06,P=0.82), postoperative carrying angle change (MD=0.32,95%CI:0.66-1.30,P=0.52), postoperative Baumann angle change (MD=1.44,95%CI:7.29-4.41,P=0.63), operation time (MD=1.93,95%CI:15.1-18.95,P=0.82), intraoperative fluoroscopy times (MD=2.17,95%CI:8.5-4.16,P=0.50) were compared between external fixator and Kirschner wire in the treatment of supracondylar fracture of humerus in children.Conclusion The curative effect of external fixator in the treatment of supracondylar fracture of humerus in children is equivalent to that of traditional Kirschner wire.

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更新日期/Last Update: 1900-01-01