王富明;陈小华;隆晓涛;熊浩岚;

• 1:中国科学院大学重庆医院重庆市人民医院

摘要(Abstract)：

[目的]通过荟萃分析比较保守治疗和切开复位钢板内固定治疗锁骨中段骨折的临床疗效。[方法]计算机检索2000年1月～2018年10月PubMed、The Cochrane Library、EMbase、MEDLINE(Ovid)、CBM、CNKI和万方医学数据库,搜索保守与切开复位钢板内固定治疗成人锁骨中段骨折的随机对照试验,严格按照纳入和排除标准及文献质量评分标准收集数据,采用RevMan 5.3统计学软件对所提取的文献数据进行荟萃分析。[结果]共纳入9篇文献,共计1 111例患者。荟萃分析显示:锁骨中段骨折的两种治疗方案在术后1年的DASH无明显差别[MD=3.58,95%CI(-0.49,7.65),P=0.08],但钢板内固定组在术后1年的Constant评分略有优势[MD=-3.53,95%CI(-6.92,-0.15),P=0.04];此外,钢板内固定可使骨不连[RR=8.51,95%CI(4.50,16.07),P<0.001]及二次手术[RR=3.22,95%CI(2.12,4.90),P<0.001]发生率显著降低。[结论]目前证据显示,切开复位钢板内固定治疗锁骨中段骨折术后1年的功能优于保守治疗,并明显降低骨不连及二次手术发生率。

关键词(KeyWords)： 锁骨中段骨折;保守;钢板内固定;Meta分析

Abstract:

Keywords:

基金项目(Foundation): 重庆市人民医院医学科技创新基金重点项目(编号:Y2016ZDXM06)

作者(Author): 王富明;陈小华;隆晓涛;熊浩岚;

Email:

DOI:

参考文献(References)：

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