主要植入物基础的腺增大后的并发症:系统性审查和元分析
Ahmed Elsaftawy1, Michał Bonczar2,3, Marta Jagosz1
1From the Department of Plastic and Hand Surgery, St. Jadwiga Śląska Hospital.
Plastic and reconstructive surgery
|May 22, 2025
概括
用植入物增强关节是有效的,但有纹理的植入物和关节下部放置会增加并发症的风险. 肌内或肌下安置可能为部增大手术提供更安全的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 整形外科美容手术 整形外科美容手术
- 生物材料科学 生物材料科学
背景情况:
- 使用植入物进行腺增大是一种常见的美容手术.
- 植入物提供可预测的体积增强,当自身脂肪移植不足时.
- 复发率和手术技术对结果的影响需要进一步调查.
研究的目的:
- 系统地审查和分析基于植入物的部增强中的并发症率.
- 评估不同的外科手术技术和植入物类型如何影响结果.
- 为了确定影响安全性和患者在部增强中的结果的因素.
主要方法:
- 在主要数据库 (PubMed,Embase,Scopus,Web of Science) 进行系统的文献搜索.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 使用ROBINS-I进行偏差风险评估和使用漏斗图和LFK指数进行出版偏差分析.
主要成果:
- 与光滑植入物相比,纹理植入物显示出血清瘤,脱落和囊收缩率显著更高.
- 下部位与血清瘤 (22.25%) 和脱色 (27.07%) 的最高率有关.
- 肌内和肌下安置显示出较低的并发症率,整体植入物移除率为1.05%.
结论:
- 基于植入物的部增大是一种可行的手术.
- 选择手术技术对于尽量减少并发症至关重要.
- 肌内和肌下安置似乎更安全;为了优化策略,需要进一步研究.
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