白建中;王永祥;王静成;张佩;梁远;吴志朋;

• 1:大连医科大学
• 2:苏北人民医院
• 3:中南大学

摘要(Abstract)：

[目的]系统评价3D打印辅助手术和传统手术在治疗Pilon骨折中的疗效。[方法]计算机检索PubMed、Embase、Web of Science、CNKI、CBM、WanFang等中外数据库,至2018年5月1日。两位作者分别进行文献搜集、筛选、质量评估、数据提取,存在争议时,通过讨论解决。[结果]共5篇RCTs符合纳入标准,包含319例患者,其中158例患者采用3D打印辅助手术,161例行传统手术。Meta分析结果显示:3D打印辅助手术手术时间[MD=-21.72,95%CI (-28.49,-14.95),P<0.05]、失血量[MD=-76.17,95%CI (-103.95,-48.40),P<0.05]、术后功能恢复[MD=7.59, 95%CI (2.21,12.97),P<0.05]、术后疼痛[MD=-0.59,95%CI (-1.18,-0.01), P<0.05]、优良率[RR=1.16,95%CI (1.04,1.29),P<0.05]、解剖复位率[RR=1.32,95%CI (1.12,1.55),P<0.05]明显优于传统手术方式。在骨折愈合时间[MD=-1.06,95%CI (-2.53,0.41),P>0.05]和感染率[RR=0.51,95%CI (0.20,1.31),P>0.05]方面,两者无显著差别。[结论] Meta分析结果表明3D打印辅助手术手术时间、失血量、术后功能恢复、术后疼痛、优良率及解剖复位率明显优于传统手术方式。对于复杂的Pilon骨折,我们常规推荐使用3D打印辅助手术。

关键词(KeyWords)： Pilon骨折;3D打印辅助手术;传统手术;荟萃分析

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金面上项目(编号:81772332)

作者(Author): 白建中;王永祥;王静成;张佩;梁远;吴志朋;

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DOI:

参考文献(References)：

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