郭鹏年;董乐乐;张占阅;

• 1:内蒙古科技大学包头医学院第一附属医院骨二科

摘要(Abstract)：

[目的]利用荟萃分析单个率的方法,对以英文方式发表的相关文献进行分析,总结多孔钽金属加强块重建Ⅱ、Ⅲ型Paprosky髋臼骨缺损并发症的种类及其发生率。[方法]采用询证医学的研究方法,以"acetabular defects"或"Paprosky"或"tantalum metal"词,检索Cochrane Database、Pubmed Medline、Ovid Medline、Embase Database等数据库,检索截止至2018年2月所有以英文发表的文献,共检索到281篇文献。根据检索条件和评价标准,最终筛选出17篇文献,共计641例。采用R软件的Meta程序包对检索结果进行统计分析。[结果]多孔钽金属加强块重建Ⅱ、Ⅲ型Paprosky髋臼骨缺损主要的并发症发生率如下:术区感染(3.59%, 95%CI 0.03～0.07)、假体无菌性松动(1.72%,95%CI 0.02～0.06))、髋关节脱位(3.74%,95%CI 0.03～0.07)和血管神经损伤(1.09%,95%CI 0.01～0.07)。[结论]多孔钽金属加强块重建Ⅱ、Ⅲ型Paprosky髋臼骨缺损主要的并发症发生率较低,术区感染、假体无菌性松动、髋关节脱位和血管神经损伤是较常见的并发症,术者在围手术期应该多加防范。

关键词(KeyWords)： 髋臼骨缺损;Paprosky分类;钽金属;并发症

Abstract:

Keywords:

基金项目(Foundation): 包头医学院科学研究基金项目(编号:BYJJ-QM2016108)

作者(Author): 郭鹏年;董乐乐;张占阅;

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DOI:

参考文献(References)：

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