灵活与刚性支气管镜对于儿童的气管支气管外体去除:一个比较的系统性审查和元分析
Alaa Safia1,2, Uday Abd Elhadi1,2, Rawnk Bader2
1Head & Neck Surgery Unit, Department of Otolaryngology, Rebecca Ziv Medical Center, Safed 1311001, Israel.
Journal of clinical medicine
|September 28, 2024
概括
灵活和刚性支气管镜检查在儿童呼吸道外体的去除方面表现出类似的成功. 灵活的支气管透镜可降低脱度风险和缩短住院时间,指导技术选择.
科学领域:
- 儿科肺病学 儿科肺病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械 医疗器械
背景情况:
- 儿童的气道外体 (FB) 清除对于预防严重并发症至关重要.
- 灵活和刚性支气管镜都被使用,但它们的相对有效性和安全性仍在争论中.
研究的目的:
- 为了比较柔性与刚性支气管检查在儿科气道FB切除方面的疗效和安全性.
- 分析与每个程序相关的临床结果和呈现特征.
主要方法:
- 在主要数据库 (PubMed,Scopus,科学网,科克兰图书馆,谷歌学者) 进行了系统的文献搜索.
- 用固定和随机效应模型进行元分析,包括了14项比较研究.
- 分析的结果包括成功率,第一个支气管镜检查结果呈阴性,转化率,并发症率和住院时间.
主要成果:
- 在柔性和刚性支气管镜之间,FB去除成功率没有显著差异.
- 灵活支气管镜的首次手术负面率更高,转换率更高.
- 整体并发症率相似,但灵活的支气管镜显示脱的风险明显较低.
- 灵活的支气管镜检查与更短的住院时间有关.
结论:
- 灵活和刚性支气管检查都是有效的儿科气道外体去除.
- 灵活的支气管检查可能是首选的,因为减少了脱的风险和更短的住院时间.
- 最佳的支气管镜技术的选择应根据患者和异物特征进行个性化.
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