间置物关节成形与关节重建修复颞下颌关节强直效果功能的Meta分析
发布时间：2018-10-15 17:58
【摘要】：背景:目前,国内外关于研究间置物关节成形术与关节重建术治疗颞下颌关节强直的文献不多,结论各异,疗效存在争议。目的:系统评价颞下颌关节强直患者行间置物关节成形与关节重建的疗效。方法:计算机检索维普中文科技期刊数据库、万方数据库、PubMed、Ovid、Embase、Clinical Evidence、Cochrance图书馆等,并且结合手工检索。收集2015年12月以前国内外公开发表的间置物关节成形术与关节重建术治疗颞下颌关节强直疗效的临床对照研究。按照纳入标准和排除标准进行筛选文献并对其进行质量评价。运用Stata13.1软件对最大张口度和复发率进行Meta分析。结果与结论:(1)纳入文献:15篇;(2)最大张口度指标:总合并结果为MD=0.99,95%CI:(-1.43,3.40),Z=0.80,P=0.424,I2=73.9%;对其亚组分析结果显示,颞肌筋膜瓣组与肋骨肋软骨移植组:MD=0.84,95%CI:(-1.94,3.63),Z=0.59,P=0.553,I2=82.2%;其他材料组:MD=2.08,95%CI:(-3.03,7.19),Z=0.80,P=0.426,I2=0.0%;(3)复发率指标结果:为OR=1.13,95%CI:(0.59,2.15),Z=0.36,P=0.721,I2=0.0%;(4)Egger检验和Begg检验结果:均显示不存在发表偏倚;(5)敏感度检验结果显示:所纳入的研究对Meta分析合并效应量无明显影响,Meta分析结果稳健;(6)分析结果提示:应用间置物关节成形与关节重建治疗颞下颌关节强直患者,修复后最大张口度和复发率方面效果等同。受纳入研究数量和质量所限,所得结论尚需开展更多高质量研究予以验证。
[Abstract]:Background: there are few literatures on the treatment of temporomandibular joint ankylosis by interposition arthroplasty and arthroplasty at home and abroad. Objective: to evaluate the effect of interposition arthroplasty and joint reconstruction in patients with temporomandibular joint ankylosis (TMJ). Methods: the database of Chinese science and technology periodicals, Wanfang database and PubMed,Ovid,Embase,Clinical Evidence,Cochrance library were searched by computer and combined with manual retrieval. To collect the clinical controlled study on the curative effect of arthroplasty and reconstruction of temporomandibular joint on ankylosis of temporomandibular joint published before December 2015. The literature was screened and evaluated according to inclusion criteria and exclusion criteria. The maximum opening degree and recurrence rate were analyzed by Meta with Stata13.1 software. Results and conclusion: (1) included in the literature: 15 articles; (2) maximum opening index: total combined result was MD=0.99,95%CI: (-1.43 卤3.40). 棰炶倢绛嬭啘鐡ｇ粍涓庤倠楠ㄨ倠杞绉绘缁，
本文编号：2273348
[Abstract]:Background: there are few literatures on the treatment of temporomandibular joint ankylosis by interposition arthroplasty and arthroplasty at home and abroad. Objective: to evaluate the effect of interposition arthroplasty and joint reconstruction in patients with temporomandibular joint ankylosis (TMJ). Methods: the database of Chinese science and technology periodicals, Wanfang database and PubMed,Ovid,Embase,Clinical Evidence,Cochrance library were searched by computer and combined with manual retrieval. To collect the clinical controlled study on the curative effect of arthroplasty and reconstruction of temporomandibular joint on ankylosis of temporomandibular joint published before December 2015. The literature was screened and evaluated according to inclusion criteria and exclusion criteria. The maximum opening degree and recurrence rate were analyzed by Meta with Stata13.1 software. Results and conclusion: (1) included in the literature: 15 articles; (2) maximum opening index: total combined result was MD=0.99,95%CI: (-1.43 卤3.40). 棰炶倢绛嬭啘鐡ｇ粍涓庤倠楠ㄨ倠杞绉绘缁，
本文编号：2273348
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