电邮这篇文章 加速Ponseti方法和标准Ponseti方法治疗先天性马蹄内翻足的对比：系统评价和荟萃分析
- 作者: Savio S.1, Maharjana M.1,2
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隶属关系:
- Udayana University
- Sanglah General Hospital
- 期: 卷 8, 编号 4 (2020)
- 页面: 473-484
- 栏目: Review
- URL: https://ogarev-online.ru/turner/article/view/35161
- DOI: https://doi.org/10.17816/PTORS35161
- ID: 35161
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详细
背景：标准Ponseti方法是治疗患儿先天性马蹄内翻足（CTEV）的主要方法。每周需矫形一次和管型石膏固定，这种方法已证明长期效果良好。但是，完全矫正畸形大约需要4-5周，所以对于经济条件有限且去医疗中心就诊困难的患儿构成了挑战。
目的：本研究旨在比较标准Ponseti方法与加速Ponseti方法治疗先天性马蹄内翻足（CTEV）的效果---后者应用相同的石膏，但每2-5天更频繁地更换石膏。
方法：根据PRISMA指南进行系统搜索，通过PubMed，Google Scholar和Cochrane数据库确定相关研究。荟萃分析共纳入了7项研究（324例患者、408患足）。比较了这两种治疗方法之间的五个结果：治疗后Pirani评分、复发率、跟腱切断率、石膏数量和总治疗时间。
结果：就总治疗时间而言，加速Ponseti方法优于标准Ponseti方法（24.25天vs.41.54天，p < 0.00001）。另一方面，治疗后Pirani评分显示达到了可比的疗效（1.01 vs.0.87，p = 0.19）。此外，两种治疗方法在所需石膏总数（4.94 vs.5.05，p = 0.76），跟腱切断率（73.29％vs.65.27％，p = 0.07）和复发率（27.72％vs.25.23％，p = 0.56）方面也具有可比性。
结论：与标准Ponseti方法相比，加速Ponseti方法有相似的疗效和较短的治疗时间。
作者简介
Sherly Desnita Savio
Udayana University
编辑信件的主要联系方式.
Email: sherlydsavio@gmail.com
ORCID iD: 0000-0003-4269-1156
MD, Orthopaedic Resident, Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Sanglah General Hospital
印度尼西亚, BaliMade Agus Maharjana
Udayana University; Sanglah General Hospital
Email: agusmaharjana@yahoo.com
ORCID iD: 0000-0002-3953-2798
MD, Consultant of Orthopaedics and Traumatology Department, Faculty of Medicine Udayana University, Sanglah General Hospital
印度尼西亚, Bali参考
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