双边门缩修复中的支架和非支架内镜技术:系统性审查和元分析
Raisa Chowdhury1, Deema Almutawa2, Nasser K Almutairi3
1Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, H3G 2M1, Canada.
International journal of pediatric otorhinolaryngology
|July 23, 2025
概括
在婴儿双边门缩修复中,术后鼻腔支架增加了复原和颗粒组织的风险. 这一系统性审查表明,常规支架可能不需要改善结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 遗传性疾病 遗传性疾病
背景情况:
- 双边腔缩是一种罕见的先天性鼻腔阻塞,在婴儿中引起严重的呼吸困扰.
- 内镜外科修复是标准的,但由于潜在的并发症,术后鼻腔支架的作用仍在争论中.
研究的目的:
- 系统地审查和分析双边门缩的支架与非支架内镜修复的结果.
- 评估小儿病患者支架的疗效和安全性,用于临床决策.
主要方法:
- 一个PRISMA指导的系统审查和对比的研究的元分析,在儿科群体中比较带支架和没有支架的内镜修复.
- 数据提取和质量评估由两位审查员独立进行.
主要成果:
- 分析了包括336名患者在内的9项研究.
- 支架显著增加了复原 (RR 2.21) 和颗粒组织形成 (RR 1.95).
- 两组之间没有观察到手术成功,出血或息肉形成的显著差异.
结论:
- 在双边门缩修复中,术后的支架与更高的缩和颗粒化的风险有关.
- 在接受内镜修复的新生儿和婴儿中,可能不需要进行常规支架.
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