扩髓与不扩髓条下髓内钉置入内固定治疗成人股骨干骨折的系统评价.pdfVIP

扩髓与不扩髓条下髓内钉置入内固定治疗成人股骨干骨折的系统评价.pdf

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扩髓与不扩髓条下髓内钉置入内固定治疗成人股骨干骨折的系统评价

目 录 中文摘要 ···················································1 英文摘要 ···················································2 引 言 ····················································4 正 文 ···················································5 1 材料和方法 ··············································5 1.1 资料检索 ·················································5 1.2 入选标准纳入标准 ·········································5 1.3 文献质量评价 ·············································5 1.4 干预措施 ·················································5 1.5 结局指标主要观察指标 ·····································5 1.6 统计学分析 ···············································6 2 实验结果 ·················································6 2.1文献检索结果 ··············································6 2.2 数据提取 ·················································7 2.3纳入研究的方法学评估 ······································9 2.4.Meta 分析结果 ···········································10 3 讨 论 ···················································13 3.1 研究质量 ················································13 3.2 综合分析 ················································14 4 不足与展望 ·············································15 5 结 论 ···················································16 参考文献 ··················································17 综 述 ··················································20 致 谢 ·················································· 攻读学位期间发表的学术论文目录 ·······················33 作者声明 ··················································34 个人简历 ··················································35 中 文 摘 要 背景:髓内钉扩髓与不扩髓治疗股骨干骨折仍存在争议。 目的:比较扩髓与不扩髓髓内钉治疗股骨干骨折的临床效果,评价两 种治疗方法的疗效差异。 方法 :计算机检索 Cochrane 图书馆 (2011 年第 9 期) 、 MEDLINE(1966-01/2011-09) 、 Embase(1984-01/2011-09) 、 CNKI(1979-01/ 2011-09)数据库。收集比较扩髓和不扩髓治疗股骨干骨 折的随机对照试验,利用Cochrane 协作网提供的RevMan5.1.2 软件对 纳入研究结果进行Meta 分析,使用GRADEpro version3.2.2 软件对纳 入研究进行证据评级。 结果:纳入10 个随机对照试验,

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