中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (9): 1599-1602.doi: 10.3969/j.issn.1673-8225.2011.09.019

• 骨与关节循证医学 evidence-based medicine of the bone and joint • 上一篇    下一篇

计算机导航技术辅助全髋关节置换的系统分析

廖  亮，赵劲民，苏  伟，沙  轲，谭  桢   

  1. 广西医科大学第一附属医院创伤骨科手外科，广西壮族自治区南宁市  530021
  • 收稿日期:2010-10-13 修回日期:2010-12-31 出版日期:2011-02-26 发布日期:2011-02-26
  • 通讯作者: 赵劲民，博士，教授，广西医科大学第一附属医院创伤骨科手外科，广西壮族自治区南宁市 530021 zhaojinmin@126.com
  • 作者简介:廖亮★，男，1981年生，广西壮族自治区南宁市人，汉族，2010年广西医科大学毕业，硕士，主要从事创伤骨关节外科方面的研究。 liangge81@126.com

Meta analysis of computer navigation in total hip arthroplasty

Liao Liang, Zhao Jin-min, Su Wei, Sha Ke, Tan Zhen   

  1. Hand Surgery Division, Department of Traumatology and Orthopedics, First Hospital of Guangxi Medical University, Nanning  530021, Guangxi Zhuang Autonomous Region, China
  • Received:2010-10-13 Revised:2010-12-31 Online:2011-02-26 Published:2011-02-26
  • Contact: Zhao Jin-min, Doctor, Professor, Hand Surgery Division, Department of Traumatology and Orthopedics, First Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China zhaojinmin@l26.com
  • About author:Liao Liang★, Master, Hand Surgery Division, Department of Traumatology and Orthopedics, First Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China liangge81@126.com

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414

被引次数

14

摘要：

背景：传统手术方法依赖术者的经验和目测解剖标志来安置髋臼假体往往会产生偏差，而在术中应用计算机导航技术可以很好地提高髋臼假体位置的精确度。
目的：研究全髋关节置换应用计算机导航系统对髋臼假体植入位置精度的影响及临床意义。
方法：计算机检索Cochrane Library、MEDLINE、EMBASE、中国生物医学文献数据库、中国期刊全文数据库，手工检索相关的中文杂志，纳入符合要求的临床试验，用RevMan5.0.18软件进行统计分析。
结果与结论：共纳入9篇临床试验合计695例。Meta分析结果显示：与传统手术相比，计算机导航技术在全髋关节置换后髋臼假体位置放置更精准超[RR=0.22，95%CI(0.14~0.34)，P < 0.000 01]、双下肢不等长较传统手术轻[RR=-4.61，95%CI(-7.74~-1.48)，P=0.004]；而外展角度[RR=-1.76，95%CI(-5.02~1.50)，P=0.29]、前倾角度[RR=-1.28，95%CI(-5.68~3.12)，P=0.57]、术后脱位率[RR=1.25，95%CI(0.05~31.66)，P=0.89]差异均无显著性意义。提示导航技术与传统手术在髋臼位置的精确度方面差异并无显著性意义。

关键词: 计算机辅助手术, 导航技术, 全髋关节置换, 假体, 系统分析

Abstract:

BACKGROUND: Traditional operation frequently depends on experience of doctors and anatomic landmark visual observation, which often leads to deviation in acetabular prosthesis implantation. Computer navigation technique greatly improves accuracy of prosthesis implantation.
OBJECTIVE: To assess the accuracy and clinical significance of computer navigation for acetabular implantation in total hip arthroplasty.
METHODS: A computer-based online search of Cochrane Library, Medline, Embase, CBM, and CNKI was performed, and related Chinese journals were manually searched. Clinical trials were selected and analyzed using RevMan5.0.18 software.
RESULTS AND CONCLUSION: A total of 9 clinical trials were included, involving 695 cases. Meta analysis showed that compared with traditional surgery, acetabular component of computer navigation technology in total hip arthroplasty was more accurate in prosthesis position [RR=0.22, 95%CI(0.14-0.34), P < 0.000 01], the degree of inclination angles [RR=-1.76, 95%CI (-5.02 to 1.50), P=0.29], but no differences in the degree of anteversion angles [RR=-1.28, 95%CI (-5.68 to 3.12), P=0.57], and postoperative dislocation rate [RR = 1.25, 95%CI (0.05-31.66), P = 0.89]. There was no statistical difference between navigation applications and traditional surgery in the accuracy of acetabular position.

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