Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (3): 456-462.doi: 10.3969/j.issn.2095-4344.2946
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Zhong Yuanming1, Wan Tong2, Zhong Xifeng2, Wu Zhuotan2, He Bingkun2, Wu Sixian2
Received:
2020-03-03
Revised:
2020-03-10
Accepted:
2020-04-11
Online:
2021-01-28
Published:
2020-11-19
Contact:
Zhong Yuanming, Doctoral supervisor, Professor, Chief physician, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China
About author:
Zhong Yuanming, Doctoral supervisor, Professor, Chief physician, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China
Supported by:
CLC Number:
Zhong Yuanming, Wan Tong, Zhong Xifeng, Wu Zhuotan, He Bingkun, Wu Sixian. Meta-analysis of the efficacy and safety of percutaneous curved vertebroplasty and unilateral pedicle approach percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fracture[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(3): 456-462.
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2.3 Meta分析结果 2.3.1 术后目测类比评分 纳入的7个研究比较了2组患者经治疗后的目测类比评分[16-17,19-23]。固定效应模型Meta分析结果显示,弯角椎体成形组的目测类比评分低于单侧椎弓根入路椎体成形组,差异有显著性意义[MD=-0.20,95%CI (-0.28,-0.12),P < 0.05]。 根据治疗后时间点的不同进行亚组分析,固定效应模型Meta分析结果显示:①治疗后1周内弯角椎体成形组的目测类比评分低于单侧椎弓根入路椎体成形组,差异有显著性意义[MD=-0.19,95%CI(-0.29,-0.08),P=0.001];②治疗后3个月弯角椎体成形组的目测类比评分低于单侧椎弓根入路椎体成形组,差异有显著性意义[MD=-0.22,95%CI (-0.34,-0.10),P < 0.05],见图3。"
2.3.2 术后ODI 纳入的2个研究比较了2组患者经治疗后的ODI[17,19]。随机效应模型Meta分析结果显示,弯角椎体成形组的ODI与单侧椎弓根入路椎体成形组相比,差异无显著性意义[MD= -4.83,95%CI(-9.71,0.05),P=0.052]。 根据治疗后时间点的不同进行亚组分析,随机效应Meta分析结果显示:①治疗后1周内弯角椎体成形组的ODI与单侧椎弓根入路椎体成形组相比,差异无显著性意义[MD=-4.64,95%CI (-13.27,3.98),P=0.291];②治疗后3个月弯角椎体成形组的ODI与单侧椎弓根入路椎体成形组相比,差异无显著性意义[MD=-4.95,95%CI(-14.94,5.05),P=0.332],见图4。"
2.3.3 手术时间 纳入的6个研究比较了2组患者手术所需手术时间[16-17,19-21,23]。随机效应模型Meta分析结果显示,弯角椎体成形组的手术时间与单侧椎弓根入路椎体成形组相比,差异无显著性意义[MD= -1.54,95%CI(-5.91,2.82),P=0.488]。 根据文献发表时间进行亚组分析,随机效应Meta分析结果显示:①2019年发表的研究亚组分析结果表明:弯角椎体成形组的手术时间与单侧椎弓根入路椎体成形组相比,差异无显著性意义[MD=-2.83,95%CI(-9.44,3.78),P=0.402];②2017年发表的研究亚组分析结果表明:弯角椎体成形组的手术时间与单侧椎弓根入路椎体成形组相比,差异无显著性意义[MD=0.97,95%CI (-1.74,3.69),P=0.488],见图5。"
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