摘要
目的 通过Meta分析评价Allgower-Donati缝合法与Donati缝合法在跟骨骨折手术中的应用效果.方法 通过建立检索式,对中国知网、维普期刊网、万方数据库、FMRS、PubMed等中英文数据库进行检索,检索时间段从数据库建立到2023年6月,将与跟骨骨折缝合方法相关的文献纳入调查研究,并使用Cochrane工具对纳入分析的文献进行文献质量评估.使用Review Manager 5.4软件对数据进行分析,比较两种缝合方法在跟骨骨折手术中的临床疗效,包括手术时间、切口缝合时间、引流管留置时间、切口愈合时间、术后切口瘢痕大小和术后VAS评分.结果 共纳入13篇文献,Meta分析结果:手术时间、术口愈合时间、术后VAS评分的差异无统计学意义;切口缝合时间[OR=-0.50,95％CI 为(-0.92,-0.08),P=0.02]、引流管留置时间[OR=-0.07,95％CI 为(-0.13,-0.01),P=0.03]、术后切口瘢痕大小[OR=-0.42,95％CI为(-0.83,0.01),P=0.04]差异具有统计学意义.结论 在跟骨骨折术口缝合方式上Allgower-Donati缝合法的临床疗效中优于Donati缝合法.
Abstract
Objective To evaluate the effectiveness of the Allgower-Donati suture method compared to the Donati suture method in calcaneal fracture surgery through Meta-analysis.Methods Literature relevant to suturing methods for calcaneal fractures was systematically searched in Chinese and English databases including China Knowledge Network,Wipo Journal Network,Wanfang Database,FMRS,PubMed,etc.,from database inception to June 2023.The Cochrane tool was utilized to assess the quality of the included literature.Data were analyzed using Review Manager 5.4 software to compare the clinical effectiveness of the two suturing methods,considering variables such as operation time,incision suture time,drain retention time,incision heal-ing time,postoperative incision scar size,and postoperative VAS score.Results A total of 13 articles were included in the Meta-analysis.The results showed that the differences in operative time,incision healing time,and postoperative VAS score were not statistically significant.However,significant differences were observed in the incision suture time[OR=-0.50,95％CI(-0.92,-0.08),P=0.02],drain retention time[OR=-0.07,95％CI(-0.13,-0.01),P=0.03],and the size of the postoperative incision scar[OR=-0.42,95％CI(-0.83,0.01),P=0.04],the difference was statistically significant.Conclusion The clinical effi-cacy of the Allgower-Donati suture method is superior to that of the Donati suture method in calcaneal fracture surgery.
基金项目
国家自然科学基金(32160209)
广西壮族自治区骨与关节退行性疾病生物医用材料工程研究中心项目(桂发改高技函[2021]1688号)
维普
万方数据