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在短期脊柱手术中排水位置对术后伤口感染的影响:元分析

Baoming Zhan¹, Shiqiang Fang¹, Xiuhong Lv¹

¹Department of Spinal Surgery, People's Hospital Affiliated to Shandong First Medical University, Jinan, China.

International wound journal

|December 1, 2023

概括

这项元分析发现,在脊柱手术后放置排水器并不能显著减少手术后的并发症,如感染或血液瘤. 需要更多的样本大小的研究来证实这些关于手术排水功效的发现.

科学领域:

整形外科手术整形外科手术
神经外科神经外科
基于证据的医学基于证据的医学.

背景情况:

脊椎手术后的术后并发症可能会影响患者的治疗结果.
使用手术排水是常见的做法,但其在减少脊柱手术后并发症的有效性仍在争论中.

研究的目的:

为了评估在单层或双层脊柱手术后放置排水管道的有效性.
为了确定手术排水是否降低了手术后并发症的发生率,如伤口感染和血液瘤.

主要方法:

通过使用来自四个数据库的数据进行了元分析:PubMed,Embase,Cochrane图书馆和Web of Science.
包括的研究进行了质量评估,并使用RevMan 5.3软件使用固定效应模型分析数据.
分析的结果包括术后伤口感染,术后血瘤和视觉模拟尺度得分.

主要成果:

随机对照试验 (RCT) 的元分析显示,在患有和没有排水的患者之间,术后伤口感染的发生率没有统计学上显著的差异 (OR,2.29;95% CI,0.50-10.41;p=0.28).
在术后血瘤 (OR,1.20;95% CI,0.27-5.28;p=0.81) 或视觉模拟尺度得分 (MD, -0.01;95% CI, -1.34-1.33;p=0.99) 中没有发现显著差异.

结论:

在短期脊椎手术中放置排水不会显著影响术后伤口并发症的结果.
这次元分析的样本规模有限需要谨慎;需要更多高质量的RCT,样本规模更大,以确认关于手术排水的这些发现.

关键词:

血瘤是一个血瘤.视觉模拟尺度是一个可视模拟尺度.伤口并发症伤口并发症伤口感染伤口感染

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