Chinese Journal of Tissue Engineering Research
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Zhang Pi-jun, Hong Gu-qi, Wang Gang
Received:
2013-01-15
Revised:
2013-02-22
Online:
2013-06-25
Published:
2013-06-25
Contact:
Wang Gang, Master, Chief physician, Professor, Doctoral supervisor, Department of Orthopedic Trauma, Nanfang Hospital of Southern Medical University, Guangzhou 510515, Guangdong Province, China
wgfr@163.com
About author:
Zhang Pi-jun★, Studying for master’s degree, Physician, Department of Orthopedic Trauma, Nanfang Hospital of Southern Medical University, Guangzhou 510515, Guangdong Province, China
CLC Number:
Zhang Pi-jun, Hong Gu-qi, Wang Gang. Hip surface replacement and total hip arthroplasty: Meta-analysis on the efficacy[J]. Chinese Journal of Tissue Engineering Research, doi: 10.3969/j.issn.2095-4344.2013.26.017.
2.1 文献检索结果 采用双人平行摘录方法,由2位研究者独立阅读文献题目和摘要,在排除明显不符合纳入标准的试验后,对可能符合纳入标准的试验阅读全文以最终确定是否符合纳入要求。2位评价者交叉核对试验结果,对有分歧而难以确定是否纳入的试验通过讨论或由第3位评价者决定其是否纳入。初检并阅读题录后获文献534篇,经过阅读文章摘要后得到文献67篇,进一步阅读全文后,剔除57篇不符合纳入标准的文献。根据筛选标准,10篇文献符合这次Meta分析的标准,发表时间为2006年至2012年,均为随机对照试验[14-23]。共包括1 006例患者1 012髋,其中采用髋关节表面置换的患者504例507髋,全髋关节置换的患者502例505髋,见表1。"
2.2.5 置换后1年美国加州大学髋关节功能评分 美国加州大学髋关节功能评分(University of California Los Angeles,UCLA)对患者手术前后疼痛、步行、功能、活动进行评分,每项记分为1-10分,10分为最佳。35-40分为优,29-34分为好,22-28分为一般,< 22分为差。4个研究根据置换后1年随访的美国加州大学髋关节功能评分评估置换后的髋关节功能恢复情况[18-20,23]。分析结果显示2种方法的置换后功能亦差异无显著性意义:SMD=0.11,95%CI(-0.29,0.51,P=0.58),见图5。UCLA评分显示髋关节表面置换后和全髋置换后的患者疼痛、步行、功能及活动等方面无明显差异。"
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