针关闭和针关闭对接受膝关节置换手术的患者手术后伤口并发症的影响:元分析
Xiongfei Tang1, Wenfeng Shi1, Yuening Qian1
1Department of Orthopaedics, Haining People's Hospital, Haining, China.
International wound journal
|September 8, 2023
概括
这次元分析发现,膝关节关节整形关闭的针和针之间在感染或伤口愈合方面没有显著差异. 然而,紧固件显著减少了伤口关闭和操作时间,这表明骨科手术的潜在效率提高.
科学领域:
- 整形外科手术 整形外科手术
- 伤口管理 伤口管理
- 生物材料是一种生物材料.
背景情况:
- 膝关节关节整形术的伤口关闭对于患者的治疗结果至关重要.
- 在主和传统之间做出选择是有争议的.
- 关于它们的有效性和效率的比较数据有限.
研究的目的:
- 为了比较主与传统针的疗效,用于膝关节关节整形术的伤口关闭.
- 为了确定一个方法是否在手术部位感染,伤口脱光和关闭时间方面提供了优异的结果.
主要方法:
- 一个对六项试验的元分析,比较用于膝关节关节整形术伤口关闭的和.
- 数据来源于EMBASE,科克兰图书馆和科学网络.
- 使用Review Manager V.5.3进行统计分析,使用随机效应模型对异质性进行分析.
主要成果:
- 在手术部位感染,伤口脱落或患者满意度方面没有发现显著差异.
- 关闭的速度明显快于关闭 (p < 0.0001).
- 随着主食的使用,运行时间也显著减少 (p = 0.03).
结论:
- 带在膝关节关节整形术中提供了一种更有效的伤口关闭方法,而不会影响安全性或有效性.
- 外科医生应该考虑伤口封闭材料,因为它们可能会影响手术结果.
- 需要使用标准化的方法进行进一步的研究,以加强证据.
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