首页|关节造影在儿童肱骨远端骨骺分离中应用的meta分析

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

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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.
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.

distal humeral epiphyseal isolationchildrenmeta analysis

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

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河南省儿童医院 郑州儿童医院小儿骨科,河南郑州 450000

肱骨远端骨骺分离 儿童 meta分析

河南省医学科技攻关计划联合共建项目河南省医学科技攻关计划联合共建项目

LHGJ20220714LHGJ20220727

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
年,卷(期):2024.33(2)
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