摘要
目的系统评价SuperPATH入路与传统入路行全髋关节置换的术后临床疗效。方法计算机检索电子数据库PubMed、Embase、The Cochrane library,中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方(WanFang),搜集SuperPATH入路与传统入路的全髋关节置换术疗效对照研究,检索时间均为自建库至2018年3月。由2位评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,运用RevMan 5.3软件进行Meta分析。结果最终纳入10篇文献,共541例患者。SuperPATH入路行全髋关节置换比传统入路全髋关节置换术中失血量少(WMD=-202.28,95%CI=-266.01～-138.54,P <0.00001),术后6周内及6周后Harris髋关节功能评分均比传统入路高[6周内WMD=8.20,95%CI=6.25～10.15,P <0.00001);6周后(WMD=7.62,95%CI=2.09～13.16,P=0.007)],两组手术时间未见明显差异(WMD=-2.40,95%CI=-7.21～2.42,P=0.33),手术切口长度短于传统入路(WMD=-7.65,95%CI=-8.29～-7.00,P <0.00001)。结论 SuperPATH入路行全髋关节置换术比传统手术入路疗效更有优势,更符合微创理念及术后加速性康复理念。
Objective To explore the postoperative curative effect of SuperPATH approach total hip arthroplasty(THA)comparing with conventional approach THA. Methods Databases including PubMed,Embase,The Cochrane Library,China Biology Medicine(CBM),CNKI and WanFang Data were electronically searched for the published studies on the comparison of curative effect between SuperPATH approach THA and conventional approach THA from the bank establishment to March 2018.Two reviewers independently screened literatures,extracted data and assessed the risk of bias in included studies.Then,a Meta-analysis was performed using RevMan 5.3 software. Results Ten literatures involving 541 patients were included.The results of Meta analysis showed that the intraoperative blood loss of THA via SuperPATH approach was less than that of the conventional approach THA(WMD=-202.28,95%CI =-266.01 to-138.54,P <0.00001).After operation,Both<6 weeks’ and>6 weeks’ Harris hip joint function score were higher than those of the conventional approach[less than 6 weeks(WMD=8.20,95%CI =6.25 to 10.15,P <0.00001),over 6 weeks(WMD=7.62,95%CI =2.09 to 13.16,P =0.007)].The operative duration of the two groups had no obvious difference(WMD=-2.40,95%CI =-7.21 to 2.42,P =0.33).The length of incision of SuperPATH approach was shorter than that of the conventional approach(WMD=-7.65,95%CI =-8.29 to-7.00,P <0.00001). Conclusion SuperPATH approach THA is more superior to traditional surgical approach THA in curative effect,and more conform to minimally invasive concept and enhanced recovery after surgery concept.
作者
黄树森
庄腾丰
吴婷婷
陈元峰
查振刚
Huang Shusen;Zhuang Tengfeng;Wu Tingting;Chen Yuanfeng;Zha Zhengang(Center for Bone and Joint and Sports Medicine , First Affiliated Hospital of Jinan University ,Guangzhou 510630 ,Guangdong, China)
出处
《右江民族医学院学报》
2018年第6期590-594,共5页
Journal of Youjiang Medical University for Nationalities
基金
国家自然科学基金项目(81601219)
