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在内镜鼻手术后预防综合症的中部肠道间隔器:随机对照试验的更新系统审查和元分析

Raisa Chowdhury¹, Hamad Almhanedi², Salman Hussain³

¹Faculty of Medicine and Health Sciences McGill University Montreal Quebec Canada.

Laryngoscope investigative otolaryngology

|March 10, 2026

概括

中间肉腔间隔器在内镜鼻手术 (ESS) 后显著减少术后鼻. 可吸收的间隔材料显示了防止粘附的最一致的证据,这表明选择性使用是有益的.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
手术创新在外科创新.
基于证据的医学基于证据的医学

背景情况:

手术后的突 (粘附) 是内镜外科手术 (ESS) 后的一个常见并发症.
中间肉间隔器用于防止这些粘附,但比较不同材料的证据正在演变.

研究的目的:

评估中肉间隔器在ESS后减少术后肌痛的疗效.
为了比较可吸收与不可吸收的间隔材料在预防突的有效性.

主要方法:

一个系统的审查和元分析,遵循PRISMA 2020指南.
从2012年1月到2025年3月,搜索了主要数据库 (PubMed/MEDLINE,Embase,Web of Science) 的随机对照试验 (RCT).
包括9个RCT (703名患者),将中间肉体间隔器与没有间隔器的对照进行比较,以3个月内突为主要结局.

主要成果:

中间肉间隔器显著减少了手术后肌痛 (RR 0.43;95% CI 0.26-0.71).
可吸收的间隔剂显示出具有统计学意义的保护作用 (RR 0.48;95% CI 0.25-0.93).
非可吸收的间隔器显示出非显著的保护趋势;在可吸收和不可吸收类型之间没有发现显著差异. 类固醇释放间隔器没有显示出明显的优势.

结论:

中间肉体间隔器有效地减少ESS后的术后肌痛.
可吸收的材料提供了最一致的证据,用于预防突.
由于基线风险可变,建议选择性而不是例行使用间隔器.

关键词:

可吸收的间隔器慢性犀牛鼻炎慢性鼻炎内镜内腔外科手术是指内镜外科手术.中间肉质间隔器不能吸收的间隔器术后并发症术后并发症随机对照试验是随机对照试验.这是一个Synechiaee.

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