视频喉科镜的有效性和安全性,用于输食管回声心脏学探针插入:一个试验的顺序元分析
Kuo-Chuan Hung1, Wei-Ting Wang2, Chia-Hung Yu1
1Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
PloS one
|October 10, 2024
概括
与传统方法相比,视频喉科镜 (VL) 辅助的食道横断心声学 (TEE) 探头插入显著降低了并发症率,并改善了第一次尝试的成功率. 这种方法提高了TEE患者的安全性和程序效率.
科学领域:
- 医疗器械 医疗器械
- 心脏病学 心脏病学
- 麻醉学 麻醉学
背景情况:
- 输食管回声心电图 (TEE) 探针插入可能会导致并发症.
- 传统的TEE探头插入方法的成功率和潜在风险各不相同.
- 视频喉腔镜 (VL) 在呼吸道手术过程中提供了增强的可视化.
研究的目的:
- 为了比较视频喉科镜 (VL) 辅助TEE探头插入与传统方法的疗效和安全性.
- 评估这两种技术的并发症率和第一次尝试成功率 (FASR).
- 评估VL对TEE探头插入时间和特定受伤部位的影响.
主要方法:
- 从Medline和Embase确定到2024年6月的相关研究进行系统的元分析.
- 主要结局:TEE探头插入过程中的并发症率.
- 二次结局:FASR,总插入时间和特定部位的损伤.
主要成果:
- 与传统方法相比,VL显著降低了并发症率 (RR:0.28) 和增加了FASR (RR:1.33).
- 在VL和传统技术之间没有观察到TEE插入时间的显著差异.
- VL显示下喉壁创伤显著减少,对关键结果的证据确定性中等至低.
结论:
- 用VL辅助的TEE探头插入与提高安全性和有效性有关.
- 使用VL可以提高TEE患者的安全性和程序效率.
- 由于证据的确定性各不相同,可能需要进一步的研究来证实这些发现.
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