Chinese General Practice ›› 2024, Vol. 27 ›› Issue (18): 2279-2286.DOI: 10.12114/j.issn.1007-9572.2023.0391
• Article·Evidence-based Medicine • Previous Articles Next Articles
Received:
2023-06-28
Revised:
2023-10-31
Published:
2024-06-20
Online:
2024-03-22
Contact:
ZHAO Fenghua
通讯作者:
赵逢华
作者简介:
作者贡献:
孟超、孟真负责研究方案的提出与设计;黄欣负责资料收集、并进行数据分析;杨群负责绘图制表;孟超撰写论文初稿;赵逢华对论文整体负责,全体作者参与审校。
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0391
检索步骤 | 检索式 |
---|---|
#1 | Humeral Fractures,Distal[Mesh] |
#2 | Lateral Condyle Fracture of Humerus[Title/Abstract] |
#3 | Lateral Condylar Fractures of Humerus[Title/Abstract] |
#4 | Lateral Condylar Fracture of Humerus[Title/Abstract] |
#5 | Lateral Humeral Condyle Fractures[Title/Abstract] |
#6 | Lateral Condyle Fractures of Humerus[Title/Abstract] |
#7 | #1 OR #2 OR #3 OR #4 OR #5 OR #6 |
#8 | Chlid[Mesh] |
#9 | Children[Title/Abstract] |
#10 | Pediatric[Title/Abstract] |
#11 | #8 OR #9 OR #10 |
#12 | #7 AND #11 |
Table 1 Search strategy of PubMed
检索步骤 | 检索式 |
---|---|
#1 | Humeral Fractures,Distal[Mesh] |
#2 | Lateral Condyle Fracture of Humerus[Title/Abstract] |
#3 | Lateral Condylar Fractures of Humerus[Title/Abstract] |
#4 | Lateral Condylar Fracture of Humerus[Title/Abstract] |
#5 | Lateral Humeral Condyle Fractures[Title/Abstract] |
#6 | Lateral Condyle Fractures of Humerus[Title/Abstract] |
#7 | #1 OR #2 OR #3 OR #4 OR #5 OR #6 |
#8 | Chlid[Mesh] |
#9 | Children[Title/Abstract] |
#10 | Pediatric[Title/Abstract] |
#11 | #8 OR #9 OR #10 |
#12 | #7 AND #11 |
第一作者 | 发表年份(年) | 国家 | 研究类型 | 样本量(C/O) | 随访时间 | 骨折分型标准 | 肘关节功能评价标准 | 结局指标 | 文献质量评分(分) | |
---|---|---|---|---|---|---|---|---|---|---|
Jadad评分 | NOS评分 | |||||||||
郭力群[ | 2010 | 中国 | RCT | 46/32 | 6个月 | Wadsworth | Mayo | Ⅳ、Ⅴ、Ⅵ、Ⅶ | 2 | |
檀鲁健[ | 2020 | 中国 | RCS | 21/20 | 11.38/23.25个月 | Jakob | Llynn | Ⅰ、Ⅱ、Ⅳ、Ⅴ、Ⅵ、Ⅷ | 5 | |
任飞[ | 2021 | 中国 | RCS | 41/38 | 未提及 | Jakob | 未提及 | Ⅰ、Ⅱ、Ⅳ、Ⅴ、Ⅵ、Ⅶ、Ⅹ | 6 | |
高天仪[ | 2020 | 中国 | RCS | 18/18 | 5个月 | Song | Broberg-Morrey/flynn | Ⅰ、Ⅳ、Ⅴ、Ⅶ、Ⅵ | 6 | |
郭美振[ | 2020 | 中国 | RCS | 25/34 | 17~31个月 | Jakob | Broberg-Morrey | Ⅰ、Ⅱ、Ⅳ、Ⅵ、Ⅴ、Ⅶ、Ⅹ | 6 | |
鲍兴[ | 2014 | 中国 | RCS | 20/22 | 15个月 | Milch | Hardacre | Ⅴ | 6 | |
袁悦[ | 2022 | 中国 | RCS | 20/20 | 12个月 | Song | Hardacre | Ⅴ、Ⅵ、Ⅶ、Ⅸ、Ⅹ | 5 | |
吕辰玮[ | 2021 | 中国 | RCT | 30/31 | ≥3个月 | Jakob | Mayo | Ⅰ、Ⅱ、Ⅴ | 3 | |
WENG[ | 2022 | 中国 | RCS | 10/31 | ≥6个月 | Song | Llynn | Ⅰ、Ⅳ、Ⅴ、Ⅵ、Ⅶ、Ⅷ、Ⅸ、Ⅹ | 7 | |
JUSTUS[ | 2017 | 美国 | RCS | 31/141 | 18.17周 | Song | 未提及 | Ⅲ、Ⅵ、Ⅶ、Ⅷ、Ⅹ | 6 | |
SONG[ | 2010 | 韩国 | PCS | 18/6 | 12~43个月 | 未提及 | Hardacre | Ⅴ | 6 | |
SILVA[ | 2015 | 美国 | PCS | 28/163 | ≥12周 | Milch | 未提及 | Ⅰ、Ⅴ、Ⅵ、Ⅶ、Ⅸ、Ⅹ | 7 | |
PENNOCK[ | 2016 | 美国 | RCS | 23/51 | 平均6个月 | Milch | 未提及 | Ⅵ、Ⅶ、Ⅷ、Ⅸ | 6 | |
LIU[ | 2022 | 中国 | RCS | 39/36 | ≥12个月 | Milch | Hardacre | Ⅴ、Ⅵ、Ⅶ、Ⅷ、Ⅸ | 7 | |
XIE[ | 2021 | 中国 | RCS | 45/62 | 13.9个月 | Song | Hardacre | Ⅰ、Ⅲ、Ⅴ | 6 | |
RIZK[ | 2017 | 埃及 | PCS | 37/8 | 18.60±3.04个月 | Song | Aggarwal | Ⅲ、Ⅴ、Ⅵ、Ⅶ | 5 |
Table 2 Basic characteristics and quality assessment of the included literature
第一作者 | 发表年份(年) | 国家 | 研究类型 | 样本量(C/O) | 随访时间 | 骨折分型标准 | 肘关节功能评价标准 | 结局指标 | 文献质量评分(分) | |
---|---|---|---|---|---|---|---|---|---|---|
Jadad评分 | NOS评分 | |||||||||
郭力群[ | 2010 | 中国 | RCT | 46/32 | 6个月 | Wadsworth | Mayo | Ⅳ、Ⅴ、Ⅵ、Ⅶ | 2 | |
檀鲁健[ | 2020 | 中国 | RCS | 21/20 | 11.38/23.25个月 | Jakob | Llynn | Ⅰ、Ⅱ、Ⅳ、Ⅴ、Ⅵ、Ⅷ | 5 | |
任飞[ | 2021 | 中国 | RCS | 41/38 | 未提及 | Jakob | 未提及 | Ⅰ、Ⅱ、Ⅳ、Ⅴ、Ⅵ、Ⅶ、Ⅹ | 6 | |
高天仪[ | 2020 | 中国 | RCS | 18/18 | 5个月 | Song | Broberg-Morrey/flynn | Ⅰ、Ⅳ、Ⅴ、Ⅶ、Ⅵ | 6 | |
郭美振[ | 2020 | 中国 | RCS | 25/34 | 17~31个月 | Jakob | Broberg-Morrey | Ⅰ、Ⅱ、Ⅳ、Ⅵ、Ⅴ、Ⅶ、Ⅹ | 6 | |
鲍兴[ | 2014 | 中国 | RCS | 20/22 | 15个月 | Milch | Hardacre | Ⅴ | 6 | |
袁悦[ | 2022 | 中国 | RCS | 20/20 | 12个月 | Song | Hardacre | Ⅴ、Ⅵ、Ⅶ、Ⅸ、Ⅹ | 5 | |
吕辰玮[ | 2021 | 中国 | RCT | 30/31 | ≥3个月 | Jakob | Mayo | Ⅰ、Ⅱ、Ⅴ | 3 | |
WENG[ | 2022 | 中国 | RCS | 10/31 | ≥6个月 | Song | Llynn | Ⅰ、Ⅳ、Ⅴ、Ⅵ、Ⅶ、Ⅷ、Ⅸ、Ⅹ | 7 | |
JUSTUS[ | 2017 | 美国 | RCS | 31/141 | 18.17周 | Song | 未提及 | Ⅲ、Ⅵ、Ⅶ、Ⅷ、Ⅹ | 6 | |
SONG[ | 2010 | 韩国 | PCS | 18/6 | 12~43个月 | 未提及 | Hardacre | Ⅴ | 6 | |
SILVA[ | 2015 | 美国 | PCS | 28/163 | ≥12周 | Milch | 未提及 | Ⅰ、Ⅴ、Ⅵ、Ⅶ、Ⅸ、Ⅹ | 7 | |
PENNOCK[ | 2016 | 美国 | RCS | 23/51 | 平均6个月 | Milch | 未提及 | Ⅵ、Ⅶ、Ⅷ、Ⅸ | 6 | |
LIU[ | 2022 | 中国 | RCS | 39/36 | ≥12个月 | Milch | Hardacre | Ⅴ、Ⅵ、Ⅶ、Ⅷ、Ⅸ | 7 | |
XIE[ | 2021 | 中国 | RCS | 45/62 | 13.9个月 | Song | Hardacre | Ⅰ、Ⅲ、Ⅴ | 6 | |
RIZK[ | 2017 | 埃及 | PCS | 37/8 | 18.60±3.04个月 | Song | Aggarwal | Ⅲ、Ⅴ、Ⅵ、Ⅶ | 5 |
具体并发症 | 文献数量(篇) | 样本量(例) | 异质性检验 | 分析模型 | OR值 | 95%CI | P值 | ||
---|---|---|---|---|---|---|---|---|---|
CRPP | ORKF | I2(%) | P值 | ||||||
浅表感染 | 11[ | 318 | 572 | 8 | 0.37 | 固定 | 0.39 | 0.21~0.73 | 0.003 |
深部感染 | 5[ | 124 | 279 | 0 | 0.86 | 固定 | 0.66 | 0.18~2.41 | 0.530 |
不良愈合 | 5[ | 145 | 396 | 0 | 0.80 | 固定 | 0.57 | 0.17~1.89 | 0.360 |
肱骨外髁缺血坏死 | 5[ | 120 | 301 | 0 | 0.80 | 固定 | 0.75 | 0.18~3.14 | 0.690 |
Table 3 Meta-analysis results of specific complications
具体并发症 | 文献数量(篇) | 样本量(例) | 异质性检验 | 分析模型 | OR值 | 95%CI | P值 | ||
---|---|---|---|---|---|---|---|---|---|
CRPP | ORKF | I2(%) | P值 | ||||||
浅表感染 | 11[ | 318 | 572 | 8 | 0.37 | 固定 | 0.39 | 0.21~0.73 | 0.003 |
深部感染 | 5[ | 124 | 279 | 0 | 0.86 | 固定 | 0.66 | 0.18~2.41 | 0.530 |
不良愈合 | 5[ | 145 | 396 | 0 | 0.80 | 固定 | 0.57 | 0.17~1.89 | 0.360 |
肱骨外髁缺血坏死 | 5[ | 120 | 301 | 0 | 0.80 | 固定 | 0.75 | 0.18~3.14 | 0.690 |
[1] |
|
[2] |
|
[3] |
郭力群. 闭合复位克氏针内固定治疗儿童不稳定定型肱骨外髁骨折临床研究[D]. 广州:广州中医药大学,2010.
|
[4] |
檀鲁健,王怀铿,吴海艺. 闭合与切开复位内固定治疗儿童Ⅱ型肱骨外髁骨折的临床疗效分析[J]. 深圳中西医结合杂志,2020,30(20):172-174. DOI:10.16458/j.cnki.1007-0893.2020.20.083.
|
[5] |
任飞,郑丽远. 不同复位内固定术治疗小儿JakobⅡ型肱骨外髁骨折的效果比较[J]. 中国实用医刊,2021,48(16):15-18. DOI:10.3760/cma.j.cn115689-20210419-01466.
|
[6] |
高天仪. 超声辅助诊断儿童非旋转型肱骨外髁骨折及闭合复位克氏针固定疗效的初步研究[D]. 苏州:苏州大学,2020.
|
[7] |
郭美振. 超声引导下微创治疗儿童JakobⅡ型肱骨外髁骨折的临床研究[D]. 重庆:重庆医科大学,2020.
|
[8] |
鲍兴,许瑞江,李文超. 儿童肱骨外髁骨折切开与闭合复位内固定疗效比较[J]. 武警医学,2014,25(2):127-129. DOI:10.14010/j.cnki.wjyx.2014.02.012.
|
[9] |
袁悦,管之也,孙军,等. 切开复位与闭合复位经皮克氏针固定治疗儿童Song Ⅲ型肱骨外髁骨折的对比研究[J]. 临床小儿外科杂志,2022,21(6):540-545. DOI:10.3760/cma.j.cn101785-202108034-008.
|
[10] |
吕辰玮,林伟栋,沈鸿辉,等. 正骨手法联合关节造影术治疗Jakob Ⅱ型儿童肱骨外髁骨折临床分析[J]. 福建医药杂志,2021,43(4):11-14. DOI:10.3969/j.issn.1002-2600.2021.04.004.
|
[11] |
|
[12] |
|
[13] |
|
[14] |
|
[15] |
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
|
[22] |
|
[23] |
|
[24] |
|
[25] |
|
[26] |
|
[27] |
|
[28] |
陈秋宏,张洪彬,栾波. 闭合复位与切开复位克氏针内固定术治疗儿童肱骨髁上骨折的临床疗效观察[J]. 贵州医药,2019,43(8):1278-1280. DOI:10.3969/j.issn.1000-744X.2019.08.033.
|
[29] |
|
[30] |
|
[31] |
|
[32] |
|
[33] |
杜青,栾静芬. 儿童肱骨外髁骨折综合康复的疗效探讨[J]. 中国康复医学杂志,2004,19(5):358-360. DOI:10.3969/j.issn.1001-1242.2004.05.012.
|
[34] |
|
[35] |
|
[36] |
|
[37] |
|
[38] |
|
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