脱发和代谢和腹部外科手术:更新的系统审查和元分析
Nima Taghizadeh1, Hussein Salhab1, Ali Alirezaei1
1Tehran University of Medical Sciences, Tehran, Iran.
Obesity surgery
|May 19, 2025
概括
脱发影响了近一半的患者在代谢和减肥手术 (MBS) 后. 鲁克斯-en-Y胃绕道显示的脱发率高于袖子胃切除术,但低于十二指肠切换.
科学领域:
- 腹部外科 腹部外科
- 术后并发症 术后并发症
- 皮肤病学 皮肤病学
背景情况:
- 代谢和减肥手术 (MBS) 越来越多地用于肥胖管理.
- 手术后的并发症,包括脱发,会影响患者的生活质量.
- 了解脱发的发病率和风险因素对于患者的咨询和管理至关重要.
研究的目的:
- 系统地审查和元分析MBS后脱发的发病率.
- 为了在不同的MBS程序中比较脱发率.
主要方法:
- 在PubMed,Scopus,谷歌学者和科学网络的系统文献搜索.
- 来自41篇文章的数据的元分析,包括7044名患者.
- 主要结果:MBS后脱发的发生率.
主要成果:
- 在MBS后脱发的总体发病率为47%.
- 与袖子胃切除术 (SG) 相比,Roux-en-Y胃绕道 (RYGB) 显示了明显更高的脱发率 (OR = 1.91).
- 与十二指甲切换器 (DS) 相比,RYGB显示脱发率明显较低 (OR = 0.41).
结论:
- 脱发是MBS后常见的并发症,影响了近一半的患者.
- MBS程序的类型会影响脱发的风险,DS和RYGB与SG相比的比率更高.
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