桡骨远端骨折保守治疗与手术治疗的比较：一项随机对照试验的荟萃分析
Comparison of conservative and operative treatment for distal radius fracture: a meta-analysis of randomized controlled trials.
作者信息
Song Jian, Yu Ai-Xi, Li Zong-Huan
机构信息
Department of Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan University Wuhan 430071, China.
出版信息
Int J Clin Exp Med. 2015 Oct 15;8(10):17023-35. eCollection 2015.
Abstract
BACKGROUND
The authors conducted a meta-analysis to compare the effectiveness and safety of conservative and operative treatment for distal radius fracture.
METHODS
PubMed, EMBASE, and the Cochrane Library were searched to identify the relevant studies published up to February of 2015. All randomized controlled trials published to compare the conservative and operative treatment were included in the study. Results were pooled using meta-analysis to compare the efficacy and safety of conservative and operative treatment for distal radius fracture.
RESULTS
The databases were derived from seven qualified studies that included a total of 523 patients in which 269 cases adopted conservative treatment while 253 cases adopted operative treatment. Overall, compared with the conservative treatment- treated the distal radius fracture, operative therapies resulted in significantly better radiographic (P<0.05), however, no significant differences of the functional outcomes and complication rate were observed between the two methods (P>0.05).
CONCLUSION
Surgical treatment seems to be more effective distal radius fracture compared with conservative treatment when the radiographic outcomes were analyzed, and no significant differences were deteched in the functional outcomes and complication rate.
摘要
背景
作者进行了一项荟萃分析，以比较桡骨远端骨折保守治疗与手术治疗的有效性和安全性。
方法
检索了PubMed、EMBASE和Cochrane图书馆，以确定截至2015年2月发表的相关研究。纳入所有比较保守治疗与手术治疗的随机对照试验。使用荟萃分析汇总结果，以比较桡骨远端骨折保守治疗与手术治疗的疗效和安全性。
结果
数据库来自7项合格研究，共纳入523例患者，其中269例采用保守治疗，253例采用手术治疗。总体而言，与桡骨远端骨折保守治疗相比，手术治疗在影像学上效果显著更好（P<0.05），然而，两种方法在功能结局和并发症发生率方面未观察到显著差异（P>0.05）。
结论
当分析影像学结局时，手术治疗似乎比保守治疗更有效地治疗桡骨远端骨折，且在功能结局和并发症发生率方面未发现显著差异。
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