李彬;田立杰;温昱;柳达;

• 1:中国医科大学附属盛京医院骨科
• 2:中国医科大学基础医学院

摘要(Abstract)：

[目的]应用Meta分析的方法,评价全膝关节置换术(total knee arthroplasty,TKA)后短期夹闭引流管对术后失血量及手术并发症的影响。[方法]计算机检索Pubmed、EMBASE、Ovid和Cochrane图书馆关于TKA术后对引流管短期夹闭和持续开放进行比较的随机对照试验,按照文中所述纳入标准收集后进行比较,利用RevMan 5.0软件进行异质性分析及Meta分析,绘制森林图。[结果]本文检索了1979～2009年间发表的1688篇关于TKA术后比较引流管短期夹闭和持续开放影响的文献,经过筛选和评价,最后收集到已发表的6篇(共603例患者)随机对照试验,符合本次Meta分析所纳入的试验标准。结果发现夹闭组患者术后引流量显著减少,两组在血红蛋白下降值、患者输血率、患膝活动度和术后并发症上差异无统计学意义(95%显著区间有重叠)。[结论]现有临床研究结果尚不支持在TKA术后短期夹闭引流管方法疗效优于持续开放引流管方法。

关键词(KeyWords)： 关节成形术;置换;膝关节;引流管;夹闭;荟萃分析

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李彬;田立杰;温昱;柳达;

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参考文献(References)：

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