切口负压伤口治疗与肠道静脉瘤关闭后的初级伤口切口治疗:系统性审查和元分析
Michał Kisielewski1,2, Karolina Richter1,3, Magdalena Pisarska-Adamczyk2,4
1Chair of Surgery of the Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski University, Cracow, Poland.
与传统 sutures相比,切口负压伤口治疗 (iNPWT) 显著减少了手术部位感染和肠道关闭后的并发症. 这种方法提供了更好的结果,而不会增加住院时间.
科学领域:
- 手术瘤学手术瘤学
- 伤口愈合 治愈 伤口愈合
- 医疗器械 医疗器械
背景情况:
- 伤口感染是肠道关闭后的常见并发症.
- 传统的关闭方法包括单或钱包串 (PSS).
- 切口负压伤口治疗 (iNPWT) 是一种创伤管理的替代方法.
研究的目的:
- 系统地审查和比较iNPWT与肠关闭后PSS的临床结果.
- 评估iNPWT在减少术后并发症方面的有效性.
主要方法:
- 临床研究的系统审查和元分析,比较iNPWT和初级伤口关闭.
- 搜索了多个数据库,直到2022年11月12日,没有日期或语言过器.
- 分析了伤口愈合时间 (WHT),手术部位感染 (SSI),并发症和住院时间 (LOS).
主要成果:
- iNPWT显示了手术部位感染的显著减少 (OR = 0.42;95% CI = 0.25-0.72).
- 在iNPWT组,整体并发症明显较低 (OR = 0.52;95% CI = 0.35-0.77).
- 两组之间没有发现伤口愈合时间或住院时间的显著差异.
结论:
- iNPWT有效地降低了手术部位感染和其他并发症的风险,在肠道关闭后.
- 使用iNPWT可以被认为是选择性关闭术后护理的一个有价值的选择.
- iNPWT可以改善患者的治疗结果,而不会延长住院时间.
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