中国大陆退行性颈椎病患者人工颈椎间盘置换术后异位骨化发生率的Meta分析
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摘要
目的探讨我国大陆地区退行性颈椎病患者接受人工颈椎间盘置换(ACDR)术后异位骨化的发生率。方法系统检索1997年1月至2016年10月公开发表的文献。检索数据库包括中国生物医学文献数据库、CHKD期刊全文数据库、维普中文科技期刊数据库、万方医学期刊数据库、Pubmed数据库、OVID平台数据库、Cochrane Library数据库和Embase数据库。提取符合纳入标准文献的基本信息、方法学特征、干预特征及异位骨化发生率等资料,采用Stata 12.0软件进行异位骨化发生率的Meta分析。结果纳入文献54篇,其中病例系列39篇,随机对照试验6篇,类试验9篇,共包括1 732例退行性颈椎病患者。Meta分析结果显示,ACDR术后6个月异位骨化的发生率为2.7%(95%CI:0.5%~4.9%),12个月异位骨化的发生率为3.4%(95%CI:1.9%~4.8%),24个月异位骨化的发生率为8.3%(95%CI:5.3%~11.2%),36个月异位骨化的发生率为11.2%(95%CI:6.0%~6.5%)。结论中国大陆地区退行性颈椎病患者接受ACDR术后异位骨化的发生率较高,且随着随访时间的延长异位骨化发生率逐渐升高。
Objective To investigate the incidence of heterotopic ossification in patients with degenerative cervical spondylosis after artificial cervical disc replacement( ACDR) in mainland China by Meta-analysis.Methods The literatures published between January 1997 and October 2016 were collected from both Chinese databases including Chinese Biomedical Literature Database( CBM),China National Knowledge Infrastructure( CNKI),VIP Database and Wanfang Database,and English databases including Pubmed,OVID,Cochrane Library and Embase. Studies providing data of prevalence of heterotopic ossification after ACDR in mainland China were included. The incidence of ectopic ossification was studied by Meta-analysis. Results Fifty-four studies including 39 case-series studies,6 randomized controlled trials and 9 quasi-experiment studies were included in this analysis,and 1 732 samples were involved. The pooled incidence of heterotopic ossification in 6,12,24,36 months after ACDR was 2. 7%( 95% CI: 0. 5%-4. 9%),3. 4%( 95% CI: 1. 9%-4. 8%),8. 3%( 95% CI: 5. 3%-11. 2%) and 11. 2%( 95% CI: 6. 0%-16. 5%),respectively. Conclusion The incidence of heterotopic ossification after ACDR in patients with degenerative cervical spondylosis in mainland China is higher,and increases gradually with the extension of follow-up time.
Objective To investigate the incidence of heterotopic ossification in patients with degenerative cervical spondylosis after artificial cervical disc replacement( ACDR) in mainland China by Meta-analysis.Methods The literatures published between January 1997 and October 2016 were collected from both Chinese databases including Chinese Biomedical Literature Database( CBM),China National Knowledge Infrastructure( CNKI),VIP Database and Wanfang Database,and English databases including Pubmed,OVID,Cochrane Library and Embase. Studies providing data of prevalence of heterotopic ossification after ACDR in mainland China were included. The incidence of ectopic ossification was studied by Meta-analysis. Results Fifty-four studies including 39 case-series studies,6 randomized controlled trials and 9 quasi-experiment studies were included in this analysis,and 1 732 samples were involved. The pooled incidence of heterotopic ossification in 6,12,24,36 months after ACDR was 2. 7%( 95% CI: 0. 5%-4. 9%),3. 4%( 95% CI: 1. 9%-4. 8%),8. 3%( 95% CI: 5. 3%-11. 2%) and 11. 2%( 95% CI: 6. 0%-16. 5%),respectively. Conclusion The incidence of heterotopic ossification after ACDR in patients with degenerative cervical spondylosis in mainland China is higher,and increases gradually with the extension of follow-up time.
引文
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