SuperPath入路全髋关节置换术并发症的荟萃分析△

A meta-analysis on the complications of SuperPath approach for total hip arthroplasty

摘要:

［目的］运用荟萃分析单个率的方法，总结 SuperPath 入路全髋关节置换术并发症的种类及其发生率。［方法］对数据库，如中国知网 （CNKI）、万方数据库、PubMed 等，检索 2016 年 1 月—2021 年 1 月国内外公开发表的 SuperPath 入路全髋关节置换术文献。严格评价纳入研究的质量并提取数据，采用 R 软件的 Meta 程序包对检索结果进行荟萃分析。［结果］共纳入 12 篇文献，总病例数 967 例。SuperPath 入路全髋关节置换术的主要并发症发生率如下：髋关节脱位 （0.99%，95%CI：0.00~ 0.02），深静脉血栓（1.06%，95%CI：0.01~0.06），感染（2.31%，95% CI：0.01~0.05），假体周围骨折（1.13%，95%CI：0.00~ 0.02）。［结论］SuperPath 入路全髋关节置换术并发症发生率较低，深静脉血栓、感染、假体周围骨折也只是相对较常见的并发症，术者在围术期应该多加防范。

Abstract:

[Objective] To summarize the type and the incidence of complications of SuperPath approach for total hip arthroplasty (THA) using the method of meta-analysis for a single rate. [Methods] The databases, such as CNKI, Wanfang Database and PubMed, were searched for papers on SuperPath approach for THA published at home and abroad from January 2016 to January 2021. After strictly evalu- ating the quality of the included studies, and extracting data, a meta-analysis was conducted by using the Meta package of R software. [Results] A total of 12 articles were included，involving a total of 967 patients. The main complications of SuperPath approach for THA proved the hip dislocation (0.99%, 95%CI: 0.00~0.02) , deep vein thrombosis (1.06%, 95%CI: 0.01~0.06) , infection (2.31%, 95% CI: 0.01~0.05)，periprosthetic fracture (1.13%, 95%CI: 0.00~0.02) . [Conclusion] SuperPath approach for total hip arthroplasty has relatively less complications，including hip dislocation, deep vein thrombosis and infection, which should be paid attention to prevent.