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术后并发症在普雷塞普塔尔与逆塞普塔尔跨结膜方法:一个系统的审查和元分析

Amanjot Kaur¹, Karthik Sennimalai², Aparna Ganesan³

¹Department of Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, Vijaypur, Jammu and Kashmir, India.

Journal of stomatology, oral and maxillofacial surgery

|July 14, 2025

概括

轨道骨折的经结膜切口显示了前置 (PS) 和后置 (RS) 方法之间的相似并发症率. 这一系统性审查表明,PS和RS技术用于轨道骨折修复是安全的,但需要更多的研究.

科学领域:

眼科医生眼科眼科
整形外科整形外科整形外科
基于证据的医学基于证据的医学

背景情况:

轨道骨折的手术纠正需要精确的剖析来最大限度地减少并发症.
过结节切口 (TI) 提供了美容优势,前置 (PS) 和后置 (RS) 是两个主要的技术.
这些技术在解剖路径和潜在风险上有所不同.

研究的目的:

系统地审查和比较手术后的并发症,在前置 (PS) 和后置 (RS) 跨切口切口方法之间的轨道骨折.
进行元分析,以统计评估PS与RS技术的安全概况.

主要方法:

在多个数据库中进行了全面的文献搜索,截至2024年12月31日.
纳入标准侧重于经过TI的轨道骨折的成年患者,将PS和RS技术与至少1个月的随访进行比较.
包括3项涉及305名患者的研究 (1项RCT,2项回顾性),由两位独立审稿人进行数据提取和偏差风险评估.

主要成果:

分析显示,PS和RS在整体并发症 (OR = 0.93),ectropion (OR = 0.50) 或entropion (OR = 3.02) 中没有显著差异.
这两种跨结膜切口技术在包括的研究中都显示出可比的安全性.
由于研究数量有限,样本规模小,因此需要对这些发现进行初步解释.

结论:

对于轨道骨折修复的跨结节切口技术,前置 (PS) 和后置 (RS) 均表现出相似的安全性.
建议根据患者解剖学,功能考虑和外科医生的专业知识来选择个性化手术方法.
进一步进行高质量的随机对照试验至关重要,以巩固对这些手术技术的基于证据的建议.

关键词:

进行元分析分析.轨道骨折发生在轨道上的骨折.轨道骨折是指轨道骨折的发生.术后并发症术后并发症系统性审查系统性审查在此之前,他曾经是Presteptal,Presteptal,Presteptal.逆roseptal 的使用情况.这是一个跨结节切口.

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