单边或双边皮肤透视内镜脱皮和排水对于胸腔关感染:一个系统性审查和元分析
Yi Mao1, Junchao Zhang1, Yunzhong Zhan1
1Department of Orthopedics, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejian, People's Republic of China.
Pain physician
|March 20, 2024
概括
单边透皮内镜除菌和排水 (UPEDD) 和双边PEDD (BPEDD) 提供可靠的病原体鉴定和良好的结果. 一项元分析发现,在关键临床结果中,UPEDD和BPEDD之间没有显著差异.
科学领域:
- 最少侵入性的脊柱手术
- 内镜脊柱手术 脊柱内镜手术
背景情况:
- 单边透皮内镜除和排水 (UPEDD) 和双边PEDD (BPEDD) 是对脊柱疾病的既定程序.
- 关于UPEDD与BPEDD的优点和缺点,存在有限的比较文献.
研究的目的:
- 进行一项元分析,比较UPEDD和BPEDD的临床结果.
主要方法:
- 对28项涉及661名患者的研究进行了系统审查和元分析.
- 计算了细菌培养,疼痛满意度,重新手术和并发症的聚合事件率.
- 还分析了手术时间和血液损失.
主要成果:
- UPEDD (21项研究,462名患者) 显示了汇总率:72%的阳性细菌培养,91%的疼痛满意度,9%的重复手术,4%的并发症,89.9分钟的手术时间,59.77毫升的血液损失.
- BPEDD (7项研究,199名患者) 显示了综合率:79%的阳性细菌培养,92%的疼痛满意度,4%的重复手术,8%的并发症,93.23分钟的手术时间,64.93毫升的血液损失.
结论:
- UPEDD和BPEDD都提供可靠的病原体识别和令人满意的临床结果.
- 在细菌培养率,疼痛满意度,并发症率或重新手术率方面,UPEDD和BPEDD之间没有发现显著差异.
- 需要进一步的研究来比较特定的临床效应和结果与其他程序.
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