无关闭与闭关闭的结果:系统性审查和元分析
Asad Gul Rao1, Abdul Rafeh Awan2, Meher Ayazuddin3
1Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Journal of pediatric surgery
|December 14, 2025
概括
无关闭胃是安全的,可以减少麻醉和感染风险. 然而,它与椎的发病率较高有关,需要仔细跟踪.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 最少侵入性的手术
背景情况:
- 胃的修复传统上涉及,但最少侵入性的无关闭是一种替代方案.
- 关于无关闭与有的胃关闭的安全性和比较结果存在不确定性.
研究的目的:
- 系统地审查和分析治疗结果,比较无和的胃关闭.
- 评估在新生儿外科护理中无关闭的安全性和有效性.
主要方法:
- 在PubMed,Embase,Scopus和ClinicalTrials.gov.gov.的综合文献搜索.
- 包括23项研究,包括2646名婴儿 (821名无,1825名有).
- 应用随机效应模型和元回归来分析结果,包括死亡率,养,麻醉,,住院和并发症.
主要成果:
- 无关闭并没有增加死亡率或延迟养里程碑.
- 观察到全身麻醉使用,通风持续时间和无修复手术部位感染的显著减少.
- Hernia 的更高发病率和需要修复与无关闭有关;住院时间或整体术后并发症没有差异.
结论:
- 无的胃关闭提供了外科手术期间的好处,但增加了带的风险.
- 发现主要来自观察性研究,受混因素和机构实践的影响.
- 支持无关闭作为一种安全的方法,需要有结构的后续和家庭咨询.
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