纠正心肌:手术选择的系统审查
A Bartsch1,2, D Nikkhah3, R Miller4
1Paediatric Orthopaedic Surgery, University Children's Hospital Basel, Spitalstr. 33, CH-4056, Basel, Switzerland.
Systematic reviews
|November 17, 2023
概括
这次审查没有发现对交手术有优越的手术方法,所有技术都提供了有限的功能收益和显著的并发症风险,用于手的重建.
科学领域:
- 手术手术手术手术手术
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
- 微手术 微手术是一种微手术.
背景情况:
- 交叉手术是一种罕见的先天手部差异,影响手指的发育.
- 手术的目的是改善手的功能和美学.
- 目前关于最佳手术管理的证据有限.
研究的目的:
- 系统地审查和比较手术管理选择的symbrachydactyly.
- 评估不同外科手术技术的功能和美学结果.
- 确定最有效和最安全的治疗策略.
主要方法:
- 按照PRISMA指南进行系统的文献审查.
- 在Cochrane图书馆,PubMed,Embase和PROSPERO进行了搜索,直到2023年1月.
- 包括与539名患者进行的24项研究;使用修改后的科尔曼方法得分评估研究质量.
主要成果:
- 所有手术技术都显示出适度的功能改善 (运动范围).
- 审美结果总体上是令人满意的,但报告不一致.
- 非血管化的转移有较高的足子捐赠部位并发症 (22%),而血管化的转移有较高的手部并发症 (54%).
结论:
- 目前还没有建立对交甲状动的统一外科手术策略.
- 所有的技术都在功能改善和并发症率之间存在权衡.
- 没有足够的高质量的比较研究来确定任何程序的优越性.
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