河南医学研究2024,Vol.33Issue(2) :198-202.DOI:10.3969/j.issn.1004-437X.2024.02.002

关节造影在儿童肱骨远端骨骺分离中应用的meta分析

Meta-Analysis of Arthrography in Separation of Distal Humerus Epiphysis in Children

孙克明 孙维胜 李振威 季泽娟 郭占豪 王军建 刘方娜 张春旭 李伟笠 王标 姚满叶
河南医学研究2024,Vol.33Issue(2) :198-202.DOI:10.3969/j.issn.1004-437X.2024.02.002

关节造影在儿童肱骨远端骨骺分离中应用的meta分析

Meta-Analysis of Arthrography in Separation of Distal Humerus Epiphysis in Children

孙克明 1孙维胜 1李振威 1季泽娟 1郭占豪 1王军建 1刘方娜 1张春旭 1李伟笠 1王标 1姚满叶1
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作者信息

  • 1. 河南省儿童医院 郑州儿童医院小儿骨科,河南郑州 450000
  • 折叠

摘要

目的 探讨关节造影在儿童肱骨远端骨骺分离中的应用,通过meta分析评估其效果和价值.方法 通过检索万方数据库、维普数据库、中国知网(CNKI)、Ringer、SpringerLink、Google Scholar、PubMed 等数据库,采用 Review Manager 5.3软件进行meta分析,将关节造影组作为试验组,将常规X线检查组作为对照组,对比两组术前误诊及术后出现并发症的差异.结果 共检索符合标准的英文文献10篇,中文文献36篇,经过筛选符合标准的文献共8篇,经过meta分析显示,试验组误诊率下降(OR=0.20,95%CI:0.08~0.50,P<0.001,I2=0);术后并发症减少(OR=0.10,95%CI:0.03~0.35,P<0.001,I2=0).结论 儿童肱骨远端骨骺分离诊治中肘关节造影有明显优势,值得推广.

Abstract

Objective To investigate the application of arthrography in the separation of distal humeral epiphysis in children,and to evaluate its effect and value through meta-analysis.Methods By searching Wanfang Database,VIP Database,CNKI,Ringer,SpringerLink,Google Scholar,PubMed and other databases,and using Review Manager 5.3 software for meta-analysis.The arthrography examination group was considered as the experimental group and routine X-ray group as the control group,the differences in preoperative misdiagnosis and postoperative complications between the two groups were compared.Results A total of 10 English literature,36 Chinese literature,and 8 standard literature were screened,and meta-analysis showed that the misdiagnosis rate in the experimental group was reduced(OR=0.20,95%CI:0.08-0.50,P<0.001,I2=0).Postoperative complications were reduced(OR=0.10,95%CI:0.03-0.35,P<0.001,I2=0).Conclusion Elbow arthrography has obvious advantages in the diagnosis and treatment of distal humeral epiphyseal separation in children,which is worthy of promotion.

关键词

肱骨远端骨骺分离/儿童/meta分析

Key words

distal humeral epiphyseal isolation/children/meta analysis

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基金项目

河南省医学科技攻关计划联合共建项目(LHGJ20220714)

河南省医学科技攻关计划联合共建项目(LHGJ20220727)

出版年

2024
河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
参考文献量31
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