魏志辉;赵波;何超;马纪坤;张铭华;

• 1:重庆医科大学附属永川医院骨科

摘要(Abstract)：

[目的]应用Cochrane系统评价方法对半髋关节置换中骨水泥与非骨水泥假体临床疗效差异进行系统评价。[方法]计算机检索Cochrane Library,MEDLINE,Pub Med,Ovid,EMBASE,CBM,万方,VIP,CNKI等数据库,检索时间从建库至2015年5月,检索骨水泥型和非骨水泥半髋关节置换的随机对照试验文献(randomized controlled trials,RCTs),并进行Meta分析。[结果]共纳入18篇RCTs,共2 308例髋,结果显示骨水泥组手术时间长[MD=8.30,95%CI(6.86,9.74),P<0.001],术中出血量多[MD=38.72,95%CI(0.11,77.32),P=0.05]。但假体并发症少[RR=0.29,95%CI(0.18,0.45),P<0.00 001],术后1年大腿疼痛发生率少[OR=0.69,95%CI(0.55,0.87),P=0.002],翻修率、心脑血管并发症、死亡率、深静脉血栓形成两组间差异无统计学意义(P>0.05)。[结论]与非骨水泥组相比,骨水泥组手术时间长,术中出血量多,但假体并发症及疼痛方面有优势,且并没有增加死亡率、翻修率及深静脉血栓形成率。

关键词(KeyWords)： 骨水泥;非骨水泥;股骨颈骨折;关节置换术;股骨头置换

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 魏志辉;赵波;何超;马纪坤;张铭华;

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参考文献(References)：

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