悬浮喉腔镜中难以预测喉暴露的预测因素:系统性审查和元分析
Mengshu Wang1,2,3, Yong Liu1,2,3,4, Yuanzheng Qiu1,2,3,4
1Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China.
Clinical and experimental otorhinolaryngology
|April 25, 2024
概括
这一元分析确定了手术期间难以暴露喉的关键预测因素. 诸如男性性别,年龄较大,BMI较高和部灵活性有限等因素与DLE显著相关,有助于术前预测.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 手术导航 手术导航
背景情况:
- 在悬浮喉科镜术期间难以暴露喉 (DLE) presents手术挑战.
- 之前对DLE预测因子的研究已经显示出不一致的结果.
- 需要一个标准化的DLE手术前预测系统.
研究的目的:
- 对现有文献进行元分析.
- 为了确定严重的术前预测因子难以喉暴露.
- 为了建立一个标准化的DLE预测系统的参数.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,CNKI,Wanfang) 进行系统的文献搜索,截至2022年10月.
- 18项符合条件的研究的元分析,涉及2263名患者.
- 使用R编程语言进行分析,计算几率比率 (ORs) 和平均差异 (MDs) 以95%的置信区间 (CI).
主要成果:
- 对18项研究 (2263名患者) 的综合分析确定了几种DLE预测因素.
- 重要因素包括男性性别 (OR,1.73),年龄较大 (MD,5.47岁),BMI较高 (MD,1.19公斤/米2),以及子周长增加 (MD,2.50厘米).
- 限制口腔开口 (MD, -0.52厘米),减少部灵活性 (MD, -10.05厘米) 和高修改的Mallampati指数 (MMI) (OR,3.37) 也与DLE有关.
结论:
- 这次元分析系统地确定了与难以暴露的喉相关的关键因素.
- 性别,年龄,BMI,子周长,MMI,切口间的距离,下门间的距离,胸门间的距离,胸门间的距离和子的灵活性与DLE高度相关.
- 这些发现可以为标准化手术前DLE预测系统的开发提供信息.
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