中国现代手术学杂志2018，Vol.22Issue(2)：95-102,8.DOI:10.16260/j.cnki.1009-2188.2018.02.004
后路环形融合和后外侧融合治疗腰椎滑脱症的Meta分析
Posterior Circumferential Fusion and Posterolateral Fusion for Lumbar Spondylolisthesis:A Meta Analy-sis
摘要
Abstract
Objective To evaluate the clinical efficacy of posterior circumferential fusion and posterolat-eral fusion in the treatment of lumbar spondylolisthesis.Methods All clinical trials of posterior circumferen-tial fusion and posterolateral fusion for lumbar spondylolisthesis were retrieved.Then information was extracted effectively by two evaluators independently,and was analyzed by the RevMan 5.3 software.Results In ac-cordance with the provisions of the literature retrieval,finally 12 articles with 759 patients were included in the study.Analysis results showed that the pooled OR and 95％confidence interval for the superior rate was [OR＝2.36,95％CI(1.33,4.17)],P＝0.003.In the aspect of improving the fusion rate,intervertebral height during operation,operation time and amount of bleeding,there were significant differences.But in improving lumbar lordosis and the height of postoperative intervertebral space,there was no significant difference between the two ways.The result showed that the funnel plot was basically symmetrical,suggesting that the publication bias was still available.Conclusion Compared with posterolateral fusion,posterior circumferential fusion has advantages in improving superior rate,the rate of fusion and the height of intervertebral space,but results in more operative time and bleeding volume.Finally,for the improvement of lumbar lordosis,there're no differ-ence between the two groups.关键词
腰椎滑脱症/后路环形融合/后外侧融合/Meta分析Key words
posterior circumferential fusion/posterolateral fusion/spondylolisthesis/Meta analysis分类
医药卫生引用本文复制引用
梁龙,银河,于杰,高景华,冯敏山,杨克新,尹逊路,朱立国..后路环形融合和后外侧融合治疗腰椎滑脱症的Meta分析[J].中国现代手术学杂志,2018,22(2):95-102,8.基金项目
十二五国家科技支撑计划(编号:2014BAI08B006) （编号:2014BAI08B006）
国家行业专项课题(编号:201107004) （编号:201107004）
