钉钩法与椎弓根螺钉法在青少年特发性脊柱侧弯矫形过程中对胸椎后凸曲度影响比较的META分析

发布时间：2018-04-05 00:24

本文选题：青少年特发性脊柱侧弯　切入点：椎弓根螺钉　出处：《华中科技大学》2014年博士论文

【摘要】：目的应用META分析方法比较椎弓根螺钉法和杂交法在青少年特发性脊柱侧弯矢状位矫形的效果。方法联合“青少年特发性脊柱侧弯”,“椎弓根螺钉”,“杂交法”等英文检索关键词检索Pubmed、Embase数据库,相关文献的索引文献也被手工检索,然后进行数据处理和统计学分析。结果24篇研究符合标准包括在分析中,12篇只包括椎弓根螺钉组,5篇文献只包括杂交组,7篇同时包含螺钉组和杂交组。病人的总例数是1615人。年龄范围从9到26岁,平均年龄为15岁。螺钉组胸椎矢状位曲度总的合并效应量为0.40,95%置信区间为(0.31,0.50)。杂交组胸椎矢状位曲度总的合并效应量为0.30,95%置信区间为(0.04,0.26)。结论总体上椎弓根螺钉法和杂交法都能够改善胸椎矢状位曲度,且根据文献分析,杂交法在恢复胸椎矢状位曲度上较椎弓根螺钉更有效。
[Abstract]:Objective to compare the effects of pedicle screw and hybrid method in the sagittal correction of idiopathic scoliosis in adolescents by META analysis.Methods the pubmedmedan Embase database was searched with the combination of "adolescent idiopathic scoliosis", "pedicle screw" and "hybrid method" in English. The index literature of related literature was also searched manually, and then the data were processed and statistically analyzed.Results 24 studies met the criteria including 12 articles including pedicle screw group and 5 articles including only 7 articles including both screw group and hybrid group.The total number of patients is 1615.The age range is from 9 to 26, with an average age of 15.The total combined effect of sagittal curvature of thoracic vertebrae in screw group was 0.40 ~ 95% confidence interval (CI) 0.31 ~ 0.50%.The total combined effect of sagittal curvature of thoracic vertebrae in hybrid group was 0.30V 95% confidence interval (CI) was 0.04 ~ 0.26%.Conclusion both pedicle screw method and hybrid method can improve the sagittal curvature of thoracic vertebrae, and according to literature analysis, hybrid method is more effective than pedicle screw in restoring sagittal curvature of thoracic vertebrae.
【学位授予单位】：华中科技大学
【学位级别】：博士
【学位授予年份】：2014
【分类号】：R726.8

【共引文献】