Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (3): 463-470.doi: 10.3969/j.issn.2095-4344.2939
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Li Yang, Zhang Mingyong
Received:
2020-03-09
Revised:
2020-03-14
Accepted:
2020-04-18
Online:
2021-01-28
Published:
2020-11-19
Contact:
Zhang Mingyong, Master, Master’s supervisor, Chief physician, Department of Orthopedics, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430064, Hubei Province, China
About author:
Li Yang, Master candidate, Physician, Department of Orthopedics, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430064, Hubei Province, China
CLC Number:
Li Yang, Zhang Mingyong. Meta-analysis of the effect of double Endobutton and clavicular hook plate on the treatment of acromioclavicular dislocation[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(3): 463-470.
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2.4.3 术中出血量分析 纳入文献中的27篇(实验组796例,对照组882例)比较了两种手术方式术中出血 量[10-12,18-22,24-26,28-32,35-36,38-41,43-47],各研究组间进行分析,有明显异质性[Chi2=3 709.25,df=26(P < 0.000 01),I2=99%],对异质性资料进行分析和处理后仍无法消除异质性和分析异质性来源,故采用随机效应模型分析,结果显示实验组(双Endobutton钢板)术中出血量明显少于对照组(锁骨钩钢板),差异有显著性意义[MD=-14.83,95%CI(-20.54,-9.13),P < 0.000 01],见图6。"
2.4.5 切口长度比较 纳入文献中的20篇 (实验组551例,对照组617例)比较了两种手术方式患者切口长度[10-13,17-19,21-22,27,29-31,36-37,40,43,46-47],各研究组间进行分析,有明显异质性[Chi2=1 776.06,df=19(P < 0.000 01),I2=99%],对异质性资料进行分析和处理后仍无法消除异质性和分析异质性来源,故采用随机效应模型分析,结果显示实验组(双Endobutton钢板)患者切口长度明显少于对照组(锁骨钩钢板),差异有显著性意义[MD= -2.87,95%CI(-3.60, -2.14),P < 0.000 01],见图8。"
2.4.9 术后6个月及末次Constant-Murley评分 术后6个月Constant-Murley评分纳入7篇文献(实验组263例,对照组276例) [14,20,28,36,38,40-41],末次Constant-Murley评分纳入14篇文献(实验组384例,对照组442 例) [15-16,18,20-23,25,29-30,33,42-43,47],比较了两种手术方式患者术后Constant- Murley评分,各研究组间进行分析,两组有明显异质性,分别为[Chi2= 310.72,df=6(P < 0.000 01),I2=98%;Chi2=207.66,df=13(P < 0.000 01),I2=94%],对异质性资料进行分析和处理后仍无法消除异质性和分析异质性来源,故采用随机效应模型分析,结果显示实验组(双Endobutton钢板)术后6个月及末次Constant-Murley评分优于对照组(锁骨钩钢板),差异均有显著性意义[MD=8.82,95% CI(1.91,15.72),P=0.01;MD=6.66,95%CI(4.46,8.86),P < 0.000 01],见图12。"
[1] 郭丹,周海斌.Rockwood Ⅲ型肩锁关节脱位两种治疗方法分析[J].安徽医药,2013,17(3):460-461. [2] 王鹏飞,魏星,庄岩,等.应用锚钉治疗RockwoodⅢ型肩锁关节脱位临床疗效观察[J].中国骨与关节损伤杂志,2013,28(3):264-265. [3] TORKAMAN A, BAGHERIFARD A, MOKHATRI T, et al. Double-button Fixation System for Management of Acute Acromioclavicular Joint Dislocation. Arch Bone Jt Surg. 2016; 4(1):41-46. [4] 李殿发.肩锁关节钢板治疗肩锁关节脱位临床探讨[J].中外医疗, 2015(14): 58-59. [5] 曾纪洲,曲铁兵,潘江,等.锁骨钩钢板固定治疗Ⅲ度肩锁关节脱位[J].中华创伤杂志,2002,18(9):547-550. [6] 余升华,范震波,李远辉,等.锁骨钩钢板在肩锁关节脱位和锁骨远端骨折中的疗效[J].中华生物医学工程杂志, 2013,19(3):227-229. [7] WEI HF, CHEN YF, ZENG BF, et al. Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results. Int Orthop. 2011;35(4):555-559. [8] LI H, WANG C, WANG J, et al. Restoration of horizontal stability in complete acromioclavicular joint separations: surgical technique and preliminary results. Eur J Med Res. 2013;18:42. [9] KARLSSON J, ARNARSON H, SIGURIONSSON K. Acromioclavicular dislocation treated by coracoacromial ligament transfer.Arch Orthop Trauma Surg.1986;16(11):8-11. [10] 华荣,顾军,徐宏亮,等.双Endobutton纽扣钢板和锁骨钩钢板治疗TossyⅢ型肩锁关节脱位的疗效比较[J].分子影像学杂志, 2017, 40(1):20-23. [11] 陈曙光,张旭鸣,何武兵,等.纽扣双钢板与锁骨钩钢板治疗急性TossyⅢ型肩锁关节脱位的临床对比[J].创伤与急诊电子杂志, 2016,4(3):145-147. [12] 张隽,夏永法.锁骨钩钢板与Endobutton带袢钢板治疗TossyⅢ型肩锁关节脱位效果比较[J].中国乡村医药杂志,2015, 22(10):47-48. [13] 伍松涛.双Endobutton钢板治疗33例Tossy III型肩锁关节脱位的疗效观察[J].中国医药导刊,2013,15(2):266-267. [14] 项卫卫,伦韦丹,曾文添,等.双Endobutton钢板与锁骨钩钢板治疗肩锁关节脱位的临床疗效对比研究[J].中国医学创新,2017, 14(33):39-42. [15] 叶春晓,郭颖彬,吴振斌,等.双Endobutton钢板与锁骨钩钢板内固定治疗Rockwood Ⅲ-Ⅴ型肩锁关节脱位的疗效比较[J].中国骨与关节损伤杂志, 2017,32(9): 928-931. [16] 王珂杰,李欢,徐鹏,等.双Endobutton钢板与锁骨钩钢板内固定治疗Rockwood III-V型肩锁关节脱位的疗效比较[J].中国骨与关节损伤杂志,2016,31(3):256-257. [17] 李翊.双Endobutton钢板治疗33例Rockwood Ⅲ-Ⅴ型肩锁关节脱位临床效果观察[J]. 中国综合临床,2013,29(9): 987-989. [18] 李殷.Rockwood III型肩锁关节脱位行不同内固定术疗效对比[J].牡丹江医学院学报,2016,37(6):69-71. [19] 林奇生,王一民,曾瑞芬,等.双Endobutton技术治疗Tossy III度肩锁关节脱位疗效观察[J].临床和实验医学杂志,2017,16(7): 680-683. [20] 李俊,杨国栋,朱忠.双Endobutton钢板治疗84例TossyⅢ型肩锁关节脱位的效果分[J].浙江创伤外科,2018,23(1):93-95. [21] 邹明,骆宇春,柏广富,等.两种方法治疗Rockwood Ⅲ型肩锁关节脱位的疗效对比分析[J].重庆医学,2012,41(15):1486-1488. [22] 王涛,史长安,张文生,等.双Endobutton钢板、锁骨钩钢板分别联合Ethibond缝线修复重建喙锁韧带治疗Ⅲ型肩锁关节脱位的疗效[J].海南医学,2019,30(18):2370-2372. [23] 周耀,王佳.锁骨钩钢板和Endobutton袢钢板治疗Tossy III型肩锁关节脱位临床效果比较[J].中国医药导报,2014, 11(15):50-52. [24] 潘骏,武垚森.双Endobutton钢板与锁骨钩钢板治疗TossyⅢ型肩锁关节脱位的比较[J].中医正骨,2010,22(4):14-16. [25] 黄立军,夏庆福,王伟,等.TossyⅢ型肩锁关节脱位采用锁骨钩钢板与带袢纽扣钢板治疗效果比较[J].现代仪器与医疗,2016, 22(4): 94-96. [26] 李成,邓伟捷,万雷,等.锁骨钩钢板和双Endobutton带袢钢板治疗TossyⅢ型肩锁关节脱位疗效比较[J].中国民族民间医药,2015(5): 125-126. [27] 吴驷东,周琦,钱臣,等.运用Endobutton系统治疗TossyIII型肩锁关节脱位[J].中外医疗,2017(11):101-103. [28] 许海云,吴一雄,樊友亮,等.带袢纽扣钢板与锁骨钩钢板治疗肩锁关节脱位的临床疗效对比分析[J].临床和实验医学杂志, 2016, 15(20):2001-2004. [29] 刘晓雷,王虎,李保良,等.双endobutton钢板及锁骨钩钢板治疗肩锁关节脱位的疗效比较[J].沈阳医学院学报,2019,21(4):330-332. [30] 崔继君,王哲,张胜杰,等.带袢钢板治疗肩锁关节脱位的临床研究[J].湖南师范大学学报(医学版),2017,14(1):106-109. [31] 严飞,周志平,曹泽,等.双Endobutton钢板固定术治疗肩锁关节脱位疗效观察[J].山东医药,2014,54(26):74-75. [32] 陆友权,方宣城,李浩.两种手术方式治疗肩锁关节脱位的疗效比较[J].蚌埠医学院学报,2017,42(7):929-931. [33] 阮永龙,谢杰,王双利,等.带袢钢板与锁骨钩钢板治疗肩锁关节脱位疗效比较[J].临床骨科杂志,2014,17(4):467-470. [34] 刘静.锁骨钩钢板与双Endobutton钢板治疗肩锁关节脱位的效果观察[J].中国卫生产业,2013,25:124-126. [35] 胡钢,严松鹤,俞云飞.Endobutton钢板治疗肩锁关节脱位的疗效[J].江苏医药,2016,42(17):1878-1880. [36] 单志军,蔡卫华,江志俊.带袢钢板与锁骨钩钢板治疗肩锁关节脱位的比较研究[J].南京医科大学学报(自然科学版), 2017,37(12): 1601-1604. [37] 胡阿威,夏成焱,夏春明,等.锁骨钩钢板与双Endobutton钢板治疗肩锁关节脱位的疗效比较 [J].临床骨科杂志, 2017,20(1):111-113. [38] 姜丹生,黄坚.不同手术方式治疗肩锁关节脱位的疗效对比[J].中华全科医学, 2018,16(3):404-406. [39] 黄守镔,钟浩博,孙春汉.纽扣钢板内固定方法治疗新鲜Rockwood Ⅲ型以上肩锁关节脱位的效果评价[J].广州医药, 2018,49(5):71-74. [40] 陈琼,赵俊强,余冬梅,等.纽扣钢板与锁骨钩钢板内固定治疗Rockwood III-V型肩锁关节脱位的效果比较[J].中国医药导报, 2017,14(12):89-92. [41] 谢伟桐,王虎,钟昌戎,等.双带袢钢板重建喙锁韧带与锁骨钩钢板治疗肩锁关节脱位的疗效比较[J].中国伤残医学, 2017,25(10):14-16. [42] 李文俊,孙健,程飚,等.双带袢纽扣钢板技术重建喙锁韧带治疗完全性肩锁关节脱位的疗效分析[J].中国现代手术学杂志, 2019, 23(1):35-39. [43] 谢继勇.锁骨钩钢板与纽扣钢板治疗肩锁关节脱位的临床评价[J].现代医药卫生,2015,31(12):1828-1830. [44] ZHU L, YANG HJ, ZHAO WJ, et al. Case control study on endobutton plateorcl avicular hook plate for the repair of acromioclavicular joint dislocations.Zhongguo Gu Shang.2012;25(2):120-123. [45] Cai L, Wang T, Lu D, et al. Comparison of the Tight Rope Technique and Clavicular Hook Plate for the Treatment of Rockwood Type III Acromioclavicular Joint Dislocation.J Invest Surg. 2018;31(3):226-233. [46] ZHANG L, ZHOU X, QI J, et al. Modified closed-loop double-endoubutton technique for repair of Rockwood type III acromioclavicular dislocation. Exp Ther Med. 2018;15(1):940-948. [47] HU JT, LU JW, FU LF. Case control study on the treatment of acromioclavicular dislocation with Endobutton plates combined with an anchor. Zhongguo Gu Shang. 2016;29(9):841-846. [48] 陈碧波,崔长权.RockwoodⅢ型肩锁关节脱位保守治疗与锁骨钩钢板内固定治疗疗效分析[J].现代医药卫生,2013,29(17): 2634-2636. [49] LEE YS, LAU MJ, TSENG YC, et al. Comparison of the efficacy of hook plate versus tension band wire in the treatment of unstable fractures of the distal clavicle.Int Orthop.2009;33:1401-1405. [50] STRUHL S.Double Endobutton technique for repair of complete acromioclavicular joint dislocations.Tech Shoulder Elbow Surg.2007; 8(4):175-179. [51] GRUTTER PW, PETERSEN SA.Anatomical acromioclavicular ligament reconstruction: a biomechanical comparison of reconstructive techniques of the acromioclavi -cular joint.Am J Sports Med.2005;33: 1723-1728. |
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