论文部分内容阅读
目的 :采用meta分析方法对比单侧下颌骨髁突骨折的手术治疗与保守治疗的疗效。方法 :全面检索Cochrane Library、Pub Med、Embase、CNKI、CBM、维普及万方数据库中有关单侧髁突骨折的疗效对比的随机对照试验(randomized controlled trials,RCTs),检索时段为建库至2015-09-25,按照筛选标准选择文献、提取资料,采用Rev Man5.3软件进行meta分析。结果 :共纳入5项RCTs,197例患者。Meta分析结果显示,手术治疗组的最大开口度(WMD:5.60,95%CI:4.42~6.77,P<0.01)、前伸距离(WMD:1.30,95%CI:0.35~2.25,P<0.01)及双侧侧方距离之和(WMD:2.50,95%CI:1.77~3.22,P<0.01)优于保守治疗组,并且手术治疗组的颞下颌关节疼痛发生率低于保守治疗组(OR:0.14,95%CI:0.04-0.43,P<0.01),但2组的错发生率无显著差异(OR:0.33,95%CI:0.07~1.46,P>0.05)。结论 :相比保守治疗,手术治疗后的开口度、前伸及侧方运动恢复更好,并且颞下颌关节疼痛发生率更低。
OBJECTIVE: To compare the surgical treatment and conservative treatment of unilateral mandibular condylar fractures by meta-analysis. Methods: Randomized controlled trials (RCTs) of the Cochrane Library, Pub Med, Embase, CNKI, CBM, VIP and Wanfang databases were performed to search the randomized controlled trials (RCTs) -09-25, select the literature according to screening criteria, extract data, meta-analysis using RevMan5.3 software. Results: A total of 5 RCTs were enrolled, 197 patients. Meta-analysis showed that the maximal opening of the surgical treatment group (WMD: 5.60, 95% CI: 4.42-6.77, P <0.01) And bilateral lateral distance (WMD: 2.50, 95% CI: 1.77-3.22, P <0.01) were superior to the conservative treatment group, and the incidence of temporomandibular joint pain in the surgical treatment group was lower than that in the conservative treatment group (OR: 0.14, 95% CI: 0.04-0.43, P <0.01). However, there was no significant difference between the two groups (OR: 0.33, 95% CI: 0.07-1.46, P> 0.05). CONCLUSIONS: Open surgery, anterior and lateral motor recovery are better than conservative treatment and the incidence of temporomandibular joint pain is lower.