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进行元分析,以确定在早产婴儿内修复的最佳时间

Tallal Mushtaq Hashmi¹, Hadiah Ashraf¹, Tehreem Fatima²

¹Rawalpindi Medical University, Rawalpindi, Pakistan.

World journal of surgery

|July 27, 2025

概括

在早产婴儿的早期 inguinal 修复减少了监禁,但增加了呼吸道并发症和复发. 最佳时间要求平衡这些风险,以获得更好的临床结果.

科学领域:

儿科手术儿科手术
新生儿护理新生儿护理
手术结果研究研究.

背景情况:

关于早产婴儿 inguinal hernia 修复的最佳时间存在相互矛盾的证据.
本综述综合了当前关于早期与延迟修复结果的证据.

研究的目的:

提供关于早产婴儿早期或延迟 inguinal hernia 修复的临床结果的最新见解.
为了为临床决策提供有关手术时间的信息.

主要方法:

进行了随机对照试验和队列研究的元分析.
搜索包括PubMed,Cochrane图书馆,Clinicaltrials.gov和Embase,截至2024年7月.
使用随机效应模型计算了95%置信区间 (CI) 的聚合几率比率 (OR).

主要成果:

分析了10项涉及4253名早产婴儿的研究.
早期修复显著减少了监禁 (OR 0.43),但增加了呼吸道并发症 (OR 5.17) 和复发 (OR 3.25).
在丸缩,上升丸,水或肠道损伤方面没有发现显著差异.

结论:

inguinal hernia修复的时间包括平衡监禁的风险与麻醉和复发的担忧.
早期修复降低了监禁风险,但增加了呼吸系统问题和复发的风险.
临床决策应权衡这些相互竞争的风险,以实现最佳的患者管理.

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