一个系统的审查和后耳植入口静脉功能障碍的元分析:圆形窗口与标准耳静脉治疗方法对比
Abdullah F Alharbi, Hassan Alalawi, Abdulsalam Alqutub
1Department of Otolaryngology-Head & Neck Surgery, King Abdulaziz University, Jeddah.
概括
这项研究比较了耳植入 (CI) 技术,在标准耳整形 (SCA) 和圆窗方法 (RWA) 之间的前庭并发症中没有显著差异. 这两种方法都显示了对头和的可比结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 医疗工程 医疗工程
背景情况:
- 耳植入 (CI) 使用标准耳口腔 (SCA) 和圆窗方法 (RWA) 技术.
- 最初偏爱RWA,然后是SCA用于困难的病例,但最近的证据支持RWA,因为SCA可能会损害耳结构.
研究的目的:
- 系统地比较RWA和SCA手术方法之间的CI后并发症.
主要方法:
- 对五个数据库进行了系统的文献搜索.
- 来自58项符合条件的研究的数据使用随机效应模型和速率比率进行了元分析.
- 统计学意义是通过p值>0.05.5来确定的.
主要成果:
- 该审查包括82项研究,其中58项用于元分析.
- 静脉管并发症:RWA (36%) 和SCA (17%). 头:RWA (18%) 与SCA (14%) 相比. 头:RWA (10%) 与SCA (8%) 相比.
- 在RWA和SCA之间没有发现RWA和SCA之间并发症率的统计学上显著差异 (p <0.05).
结论:
- 无论是RWA还是SCA,都显示出与前体问题相似的CI后并发症概况.
- 虽然RWA显示头,和整体前体并发症的发病率略高,但这些差异在统计学上并不显著.
- 该研究得出结论,在前体并发症方面,两种CI技术都没有相对于另一种技术提供显著的优势.
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