在上和下缺陷中自由板重建的并发症:系统性审查和元分析
Fabio Maglitto1, Stefania Troise1, Federica Calabria1
1Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy.
Journal of clinical medicine
|January 28, 2026
概括
使用骨性自由的头和部重建具有显著的并发症率,包括片损失和伤口问题. 标准化报告对于更好的患者咨询和重建策略规划至关重要.
科学领域:
- 重建性手术是一种重建性手术.
- 口腔和牙面部外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 微血管骨性自由板对于头部和部的重建至关重要.
- 目前关于患者咨询和手术规划的数据往往是碎片化的.
- 这项研究解决了对综合并发症数据的需求.
研究的目的:
- 系统地审查和元分析骨质自由的术后并发症率.
- 根据重建中使用的不同类型的片来评估并发症模式.
- 为手术决策提供基于证据的数据.
主要方法:
- 14项回顾性研究 (2000-2025) 的系统综述和元分析.
- 包括成人队列,其中≥20名患者正在接受下/大重建.
- 随机效应对比例的元分析;偏差风险用ROBINS-I.评估
主要成果:
- 聚合的总折叠损失:6% (3-9%);部分折叠损失:6% (3-10%).
- 综合的并发症率:感染率为7% (2-22%),抽12% (7-20%),伤口脱光率为16% (8-31%).
- 支柱状片:6.1%的总损失,6.6%的部分损失,9.0%的感染,10.4%的片,17.1%的脱光. 在DCIA上显示了29.7%的伤口脱光.
结论:
- 骨性自由重建与相当大的并发症率有关.
- 报告的结果存在显著的异质性.
- 标准化报告对于改善重建性手术的基于证据的实践至关重要.
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