脑膜修复外科手术中的头骨测量和美学结果:系统性审查和元分析
Akriti Choudhary1, Michael Edgar1, Shreya Raman1
1Division of Plastic, Reconstructive and Cosmetic Surgery, University of Illinois College of Medicine, Chicago, IL, USA.
概括
这次系统性审查发现,在开放式顶重塑 (CVR) 和对角骨突症的微创手术之间,指结果没有显著差异. 在比较这些手术技术的研究中,美学结果在很大程度上是模两可的.
科学领域:
- 面外科手术 面外科手术
- 儿科神经外科 儿科神经外科
- 整形外科 整形外科 整形外科
背景情况:
- 突症需要手术来纠正异常的头部形状.
- 最少侵入性技术越来越多地被探索为开放的头骨改造 (CVR) 的替代方案.
- 这些手术方法之间的比较美学结果需要系统的评估.
研究的目的:
- 系统地审查和比较最小侵入性部手术的审美结果与部突症的CVR.
- 确定影响手术美学结果的决定因素.
- 分析测量和患者报告的结果测量 (PROM).
主要方法:
- 对42项研究 (2402名患者) 进行了符合PRISMA的系统审查.
- 包括的研究比较了春季头骨整形,条纹微创头骨切除术或CVR.
- 分析了测数据和PROMs以获得美学结果.
主要成果:
- 最多被研究的病例是斜式关突症 (59%).
- 分析显示,CVR和角突的不那么侵入性手术之间的头骨指数 (CI) 没有显著差异.
- 由于数据异质性,其他头骨突触的结果是模两可的.
结论:
- 在CVR和小侵入性手术之间,在头骨指数结果中没有显著的差异,以治疗松头骨突变.
- 当前文献在比较这些技术时显示了模两可的美学结果.
- 由于数据有限,需要对非松性骨突触进行进一步的研究.
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