持久性气管皮的片和初级闭塞之间的比较:一个范围审查
Nasser Almutairi1,2,3, Waleed Alshareef1, Latifah Almakoshi1
1Department of Otolaryngology-Head and Neck Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.
Ear, nose, & throat journal
|June 9, 2023
概括
主要和关闭都有效地治疗气管皮 (TCF),成功率和并发症率相似. 片修复是一种可行的选择,特别是当初级关闭失败时,但需要更多的研究.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 医疗器械技术 医疗器械技术
背景情况:
- 气管皮 (TCF) 在气管切除术后是一个持续的挑战.
- 关闭TCF通常需要进行手术.
- 评估不同手术技术的疗效对于患者的治疗结果至关重要.
研究的目的:
- 为了比较片的成功率和并发症率与气管皮质片的初级关闭率.
- 为了确定TCF管理的最佳外科手术方法.
主要方法:
- 在四个主要数据库 (Web of Science,Cochrane Library,PubMed,Scopus) 进行了系统的文献搜索,截至2022年8月.
- 用开放式元分析仪对聚合事件率 (闭合成功,并发症) 进行了单臂元分析.
- 使用审查经理计算了风险比率,以比较使用审查经理的初级和门维修结果.
主要成果:
- 分析了包括997名患者在内的27项研究.
- 两种方法之间没有发现关闭成功率 (初级:0.979,翻页:0.98) 或重大并发症率 (初级:0.034,翻页:0.021) 的显著差异.
- 轻微并发症的发生率也相似 (初级:0.045,板:0.04).
结论:
- 无论是初级修复还是片修复都是气管皮质囊的有效和可接受的治疗选择.
- 在其他技术失败后,片修复可以被视为一个救援选项.
- 需要进一步的前性随机研究来最终比较这些手术程序.
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