战争伤害中下缺陷的重建:系统审查和元分析
Umar Rehman1, Melissa Shemie2, Mohammad Sohaib Sarwar3
1Department of Plastic Surgery, Chelsea and Westminster Hospital, London, UK.
Craniomaxillofacial trauma & reconstruction
|May 23, 2024
概括
非血管化骨移植 (NVBGs) 对于重建战斗创伤下缺陷是有效的. 这种方法的成功率很高,使其成为战区管理的实际选择.
科学领域:
- 口腔和牙面部外科手术
- 创伤外科 手术 创伤外科
- 重建性手术是一种重建性手术.
背景情况:
- 战斗创伤越来越多地导致大面部伤害,下是最常受到影响的结构.
- 部缺陷在战斗环境中带来了重大的重建挑战.
- 存在各种重建选择,包括血管化骨移植,非血管化骨移植和全塑性植入物.
研究的目的:
- 确定下重建在打击创伤相关缺陷中的常见方法和有效性.
- 评估与不同重建方式相关的成功率和并发症.
- 为管理与战斗有关的下伤害提供基于证据的建议.
主要方法:
- 在多个数据库 (PubMed,Prospero,EMBASE,Cochrane等) 中进行了系统的文献搜索. ) 的情况.
- 六篇文章符合纳入标准,包括165名需要下重建的患者.
- 对包括在内的5项试验进行了元分析.
主要成果:
- 非血管化骨移植是最常见的重建方法 (n=137).
- 下重建的整体成功率为85% (95% CI 79-90%).
- 重建失败发生在13%的患者中,21%的患者经历了术后并发症.
结论:
- 非血管化骨移植 (NVBGs) 是在战区下重建的实用,经济有效和有利的选择.
- 在战斗创伤中,NVBG的成功率与民用文献中报道的成功率相当.
- 管理需要仔细考虑患者因素,手术变量和可用的资源,优先考虑危及生命的伤害评估.
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