伤口并发症的比较:一阶段和两阶段的手臂骨性动脉静脉:一个元分析

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Yanyan Lu¹, Jiao Xiao¹, Chunyan Liu¹

¹Department of Nephrology, The Second Hospital of Dalian Medical University, Dalian, China.

International wound journal

|June 20, 2023

概括

基动脉静脉囊 (BB-AVF) 的两阶段技术显著减少了手术部位并发症,如血液瘤和感染. 由于当前研究的样本规模较小,建议进一步进行高质量的研究.

科学领域:

血管外科血管外科
腎臟病學 (nephrology) 是一種醫學專業.
医疗技术评估医疗技术评估

背景情况:

末期病 (ESRD) 需要可靠的血管接入用于血液透析.
基性动脉静脉囊 (BB-AVF) 是长期血管接入的首选选择.
创建BB-AVF的手术技术旨在优化透视度并最大限度地减少并发症.

研究的目的:

为了比较一阶段与两阶段技术对基动脉静脉囊 (BB-AVF) 的结果.
评估两阶段BB-AVF技术在减少手术部位并发症方面的有效性.

主要方法:

在四个主要数据库进行了全面的文献审查,截至2023年5月.
根据预定义的纳入和排除标准,选择了12项研究.
使用RevMan 5.3软件进行了元分析,使用固定效应模型计算odds比率 (OR) 和95%置信区间 (CI).

主要成果:

两阶段的BB-AVF技术显示,手术部位血液瘤 (SSH) 的形成显著减少 (OR,2.28;95% CI,1.24-4.17;p=0.008).
通过两阶段技术 (OR,1.86;95% CI,1.17-2.94;p=0.008) 也观察到手术部位伤口感染 (SSWI) 的显著减少.

结论:

双阶段技术用于手臂基础性动脉静脉囊与较低的手术部位血液瘤和感染率有关.
这些发现表明,双阶段方法在改善BB-AVF结果方面具有潜在的好处.
未来的元分析应该优先考虑具有更大样本规模的高质量研究,以获得更强大的结论.

关键词:

臂基动脉动脉静脉囊血液透析血液透析血瘤是一个血瘤.一个阶段的技术技术.这是一种两阶段的技术.伤口感染伤口感染

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