免打结倒刺缝线在初次全膝关节置换术中应用的荟萃分析A meta-analysis on knotless barbed sutures used in primary total knee arthroplasty
许宏;谢锦伟;雷一霆;曹国瑞;张少云;陈果;裴福兴;
摘要(Abstract):
[目的]探讨免打结倒刺缝线在初次全膝关节置换术中应用的临床效果。[方法]利用计算机检索pubmed,web of science,EMBASE,Cochrane Library,中国期刊全文数据库(CNKI),维普中文科技期刊数据库(VIP)中关于免打结倒刺缝线在全膝关节置换术中的相关研究,同时手工检索相关文献,检索截止至2018年3月,提取数据,采用Rev Man 5.0软件进行Meta分析,根据分析结果得出结论。[结果]共纳入前瞻性临床随机对照研究6篇,Meta分析结果显示,与传统缝合相比,使用免打结倒刺缝线缝合不仅可以减少初次全膝关节置换术中切口的平均缝合时间(MD=-4.01,95%CI:-4.74~-3.29,P<0.001);而且可以减少术中针刺伤的发生率(RR=0.13,95%CI:0.02~0.71,P=0.02)。但两者术中缝线断裂的发生率(RR=0.57,95%CI:0.01~25.25,P=0.77)、术后伤口并发症的发生率(RR=0.64,95%CI:0.38~1.08,P=0.10),以及术后的膝关节协会评分(KSS)(MD=-1.63,95%CI:-3.42~0.14,P=0.07)差异均无统计学意义。[结论]在初次全膝关节置换术中,使用免打结倒刺缝线缝合在不增加术后伤口并发症发生率的情况下不仅可以减少切口的缝合时间,而且可以降低术中针刺伤的发生率。
关键词(KeyWords): 全膝关节置换术;倒刺缝线;并发症;荟萃分析
基金项目(Foundation):
作者(Author): 许宏;谢锦伟;雷一霆;曹国瑞;张少云;陈果;裴福兴;
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参考文献(References):
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