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[1]吳冀,張亞弟.合并尺骨莖突骨折對(duì)橈骨遠(yuǎn)端骨折患者橈尺遠(yuǎn)側(cè)關(guān)節(jié)功能影響的Meta分析[J].中醫(yī)正骨,2021,33(01):34-37.
　WU Ji,ZHANG Yadi.Effects of ulnar styloid fracture on function of distal radioulnar joint in patient with distal radius fracture:a meta analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(01):34-37.
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合并尺骨莖突骨折對(duì)橈骨遠(yuǎn)端骨折患者橈尺遠(yuǎn)側(cè)關(guān)節(jié)功能影響的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年01期
頁(yè)碼:
34-37
欄目:
文獻(xiàn)研究
出版日期:
2021-01-20

文章信息/Info

Title:
Effects of ulnar styloid fracture on function of distal radioulnar joint in patient with distal radius fracture:a meta analysis
作者:
吳冀; 張亞弟
(寧波大學(xué)醫(yī)學(xué)院,浙江 寧波 315211)
Author(s):
WU Ji; ZHANG Yadi
Ningbo University School of Medicine,Ningbo 315211,Zhejiang,China
關(guān)鍵詞:
橈骨骨折;  尺骨莖突骨折;  橈尺遠(yuǎn)側(cè)關(guān)節(jié);  Meta分析;  系統(tǒng)評(píng)價(jià)
Keywords:
radius fractures;  ulnar styloid fractures;  distal radioulnar joint;  meta-analysis;  systematic review
摘要:
目的:評(píng)價(jià)合并尺骨莖突骨折對(duì)橈骨遠(yuǎn)端骨折患者橈尺遠(yuǎn)側(cè)關(guān)節(jié)功能的影響。方法:計(jì)算機(jī)檢索PubMed、Embase、Cochrance library、中國(guó)知網(wǎng)、萬(wàn)方數(shù)據(jù)庫(kù)中所有對(duì)比合并或不合并尺骨莖突骨折的橈骨遠(yuǎn)端骨折患者橈尺遠(yuǎn)側(cè)關(guān)節(jié)功能的隨機(jī)對(duì)照或非隨機(jī)對(duì)照臨床試驗(yàn)文獻(xiàn),治療方法為切開(kāi)復(fù)位掌側(cè)鋼板螺釘內(nèi)固定或跨關(guān)節(jié)的外固定架固定。檢索時(shí)限為建庫(kù)至2019年8月31日。篩選文獻(xiàn)、提取數(shù)據(jù)并評(píng)價(jià)納入研究的偏倚風(fēng)險(xiǎn)后,采用Revman5.3軟件進(jìn)行Meta分析。結(jié)果:共納入5篇文獻(xiàn)。Meta分析結(jié)果顯示,合并和不合并尺骨莖突骨折患者(尺骨莖突骨折組和無(wú)尺骨莖突骨折組)的腕關(guān)節(jié)屈曲活動(dòng)度、背伸活動(dòng)度比較,組間差異均無(wú)統(tǒng)計(jì)學(xué)意義[屈曲活動(dòng)度:P=0.850,I2=0%; WMD=-0.05,95%CI(-1.99,1.88),P=0.960。背伸活動(dòng)度:P=0.990,I2=0%; WMD=-0.67,95%CI(-1.35,2.68),P=0.520]; 2組患者前臂旋前活動(dòng)度、前臂旋后活動(dòng)度比較,組間差異均無(wú)統(tǒng)計(jì)學(xué)意義[前臂旋前活動(dòng)度:P=0.090,I2=51%; WMD=-1.56; 95%CI(-4.64,1.53),P=0.320。前臂旋后活動(dòng)度:P=0.620,I2=0%; WMD=-0.39,95%CI(-2.19,1.40),P=0.670]; 2組患者的上肢功能障礙評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義[P=0.270,I2=19%; WMD=3.72,95%CI(-0.20,7.65),P=0.060]。結(jié)論:現(xiàn)有的證據(jù)表明,合并尺骨莖突骨折不會(huì)對(duì)橈骨遠(yuǎn)端骨折患者橈尺遠(yuǎn)側(cè)關(guān)節(jié)功能產(chǎn)生影響。
Abstract:
To evaluate the effects of ulnar styloid fracture on distal radioulnar joint(DRUJ)function in patient with distal radius fracture.Methods:All articles about randomized controlled trial(RCT)and non-RCT comparing DRUJ function of distal radius fracture patients with ulnar styloid fractures(ulnar styloid fracture group)and DRUJ function of distal radius fracture patients without ulnar styloid fractures(non-ulnar styloid fracture group)that published at home and abroad included from database establishing to August 31,2019 were retrieved from PubMed,Embase,Cochrance library,China national knowledge internet and WanFang Database through computer.The patients were treated with open reduction and volar plate and screw internal fixation or frame external fixation across the wrist.The articles were screened and the information was extracted.The risk of bias of included researches in the articles was assessed and a Meta-analysis was conducted by using Revman5.3 software.Results:Five articles were included in the final analysis.The results of Meta-analysis demonstrated that there was no statistical difference in wrist palmar flexion range of motion(ROM)and wrist dorsiflexion ROM between ulnar styloid fracture group and non-ulnar styloid fracture group(palmar flexion ROM:P=0.850,I2=0%; WMD=-0.05,95%CI(-1.99,1.88),P=0.960.dorsiflexion ROM:P=0.990,I2=0%; WMD=-0.67,95%CI(-1.35,2.68),P=0.520).There was no statistical difference in forearm pronation ROM and forearm supination ROM between ulnar styloid fracture group and non-ulnar styloid fracture group(forearm pronation ROM:P=0.090,I2=51%; WMD=-1.56; 95%CI(-4.64,1.53),P=0.320.forearm supination ROM:P=0.620,I2=0%; WMD=-0.39,95%CI(-2.19,1.40),P=0.670).There was no statistical difference in the disabilities of the arm,shoulder and hand(DASH)scores between ulnar styloid fracture group and non-ulnar styloid fracture group(P=0.270,I2=19%; WMD=3.72,95%CI(-0.20,7.65),P=0.060).Conclusion:Available evidences suggest that the ulnar styloid fracture has no effects on DRUJ function in patient with distal radius fracture.

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通訊作者:吳冀 E-mail:[email protected]
更新日期/Last Update: 2021-01-20