Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (51): 8358-8364.doi: 10.3969/j.issn.2095-4344.2014.51.029
Aikeremu Wupuer, Jiasharete Jielile, Aihemaitijiang Yusufu, Abulaiti Abula, Abuduheilili Maimaitiaili, Liu Ya-fei, Ayinazi, Huang Yong, Yang Peng-fei
Online:
2014-12-10
Published:
2014-12-10
Contact:
Jiasharete Jielile, Associate professor, Associate chief physician, Master’s supervisor, Department of Microsurgery and Reconstruction Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
About author:
Aikeremu Wupuer, Studying for master’s degree, Department of Microsurgery and Reconstruction Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
Supported by:
the National Natural Science Foundation of China, No. 81460337
CLC Number:
Aikeremu Wupuer, Jiasharete Jielile, Aihemaitijiang Yusufu, Abulaiti Abula, Abuduheilili Maimaitiaili, Liu Ya-fei, Ayinazi, Huang Yong, Yang Peng-fei. Meta-analysis of limited mini incision release and traditional open carpal tunnel release for treatment of carpal tunnel syndrome[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(51): 8358-8364.
2.2 研究质量小结 纳入研究均有明确的纳入和排除标准。有4项研究未描述具体的随机方法,因此有选择性偏倚的中度可能性。有5项研究未描述分配隐藏,其余4个研究均正确使用了密闭信封,因此实施偏倚的可能性较小。由于外科手术的特殊性,纳入研究均未使用盲法,可能存在中度测量性偏倚。1项研究均有失访,描述了退出例数及理由,因此存在较高度损耗性偏倚。系统评价纳入的文献研究代表性尚好,各研究间具有较高的同质性,在年龄、性别比例、手术时间、手术方法、损伤严重程度等基线水平比较各研究间差异无显著意义。 2.3 系统评价结果 2.3.1 术后并发症发生率的评价 3个研究比较了有限小切口松解组与传统腕管切开松解组术后并发症发生率[15-16,19],共345例,其中接受有限小切口松解有161例,接受传统腕管切开松解有184例,对于术后并发症发生率,各研究间异质性较低(Ⅰ2=42%),采用固定效应模型,由图2可以看出2种手术方法的术后并发症发生率差异有显著性意义[OR=0.37;95% CI(0.16,0.87),P=0.02],术后并发症发生率有限小切口松解组明显低于传统腕管切开松解组。"
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