在小儿内修复后的丸血管化:系统性审查和元分析
Roxanne Eurlings1,2, Rianne E M Killaars1,2, Ruben G J Visschers2,3
1Research Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Faculty of Health, Medicine and Life Sciences (FHM), Maastricht University, Universiteitssingel 40, 6229 ER Maastricht, The Netherlands.
Children (Basel, Switzerland)
|April 27, 2024
概括
儿科 inguinal hernia修复 (IHR) 可以暂时损害丸血流,特别是在开放式手术. 在儿童中, laparoscopic IHR 可能是可取的,因为它保留了血管化.
科学领域:
- 儿科手术 儿科手术
- 血管生物学 血管生物学
- 外科手术的结果
背景情况:
- 在儿科 inguinal hernia 修复 (IHR) 后的丸血管功能障碍尚未得到充分理解.
- 在IHR期间操纵精子带可能会损害丸血流,可能导致缩.
- 目前关于儿科IHR后丸血管变化的知识需要进行系统的审查.
研究的目的:
- 审查关于小儿 inguinal hernia 修复后丸血管功能障碍的现有文献.
- 分析不同手术方法对儿童丸血管化的影响.
主要方法:
- 在主要数据库 (PubMed/Medline,Embase,Cochrane,Web of Science) 进行系统的文献搜索.
- 使用经过验证的工具评估方法质量.
- 对于符合条件的研究,数据提取和聚合数据分析 (元分析).
主要成果:
- 包含了10项研究,其中6项有资格进行元分析.
- 开放的IHR显示,丸血管化在短期内显著下降 (1天-1周).
- laparoscopic IHR 没有显示这种短期血管功能障碍;血管抵抗通过长期随访 (1-6 个月) 得到正常化.
结论:
- 在开放的儿科IHR后,丸血管的短暂,短期的减少发生.
- laparoscopic IHR 在儿童中可能具有临床优势,因为它可以更好地保存丸血管.
- 需要进一步进行比较和长期研究,以评估对生育能力和精子质量的影响.
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