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哺乳婴儿的舌头切术:一个总体审查

Bruno Valério da Silva¹, Amanda Vieira Barollo¹, Normanda da Nóbrega Lima Sá²

¹Federal University of Espírito Santo, Vitória, Brazil.

International journal of paediatric dentistry

|September 24, 2025

概括

对于婴儿桃的语言切术 (LF) 缺乏高质量的证据来支持母乳养的益处. 过度诊断可能会导致过度治疗,因为当前的系统性审查显示对婴儿养和母亲结果的疗效不确定的结果.

科学领域:

儿科医学儿科医学
基于证据的实践.
哺乳期咨询公司

背景情况:

在全球范围内,安基洛格洛西亚的诊断和治疗,特别是舌腔切术 (LF) 的使用量有所增加.
系统审查和专家意见之间存在关于LF疗效的相互矛盾的结果.

研究的目的:

批判性地评估现有的系统性审查 (SRs) 关于LF在1岁以下婴儿的有效性.
综合当前关于LF对母乳养相关结果的影响的知识.

主要方法:

采用总体审查方法,搜索多个电子数据库和灰色文献.
包含的SR专注于婴儿 (高达1岁) 中的LF临床试验,涉及母亲的自我有效性,乳头疼痛和婴儿体重增加.
使用AMSTAR 2工具对所包含的SR进行了批判性评估.

主要成果:

分析中包括了15个SR,这些SR来自272项初步研究.
证据质量主要非常低 (93.3%),只有一个SR被评为中等质量.
显著的大多数SR (14/15) 显示了关键的方法缺陷,表明研究进行不良.

结论:

证据支持LF在改善婴儿母乳养结果方面的有效性是不确定的.
缺乏与母亲自我效能和婴儿体重增加有关的好处的高质量证据;减少乳头疼痛的证据很弱.
潜在的过度诊断的ankyloglossia可能会导致过度治疗没有足够的高质量的证据的LF的好处.

关键词:

性脱口症 (Ankyloglossia) 是一种脱口症.婴儿婴儿婴儿婴儿语言法式切除术 (lingual frenotomy) 是一种语言法式切除术.

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