负压引流预防腮腺术后并发症的系统评价

发布时间：2018-04-01 06:42

本文选题：引流　切入点：腮腺切除术　出处：《上海口腔医学》2014年03期

【摘要】：目的:用系统评价方法评价负压引流在预防腮腺术后并发症方面的疗效及安全性。方法 :计算机检索PubMed、Cochrane图书馆临床随机对照试验库、荷兰医学文摘、欧洲灰色文献数据库、中国生物医学文献数据库、维普数据库、万方数据库,检索时限为建库截至2013年3月10日;同时手工检索19种中文口腔医学杂志,搜集负压引流与开放式引流预防腮腺术后并发症的临床随机对照试验。2位评价者独立使用Cochrane协作网推荐的标准对纳入文献进行偏倚风险评价并提取数据,采用Revman5.2软件进行meta分析。结果:最终纳入10项研究,偏倚风险评价显示均为中等偏倚风险。Meta分析结果显示,与开放式引流相比,负压引流能明显减少腮腺术后并发症(涎瘘/积液、血肿)的发生,提高临床综合疗效及患者的生活质量(P0.05)。结论:负压引流在预防腮腺术后并发症发生方面有一定的疗效和安全性,但还需要更多高质量的临床随机对照试验支持。
[Abstract]:Objective: to evaluate the efficacy and safety of negative pressure drainage in preventing postoperative complications of parotid gland.Methods: the clinical randomized controlled trial database, Dutch medical abstract, European grey literature database, Chinese biomedical literature database, Weip database and Wanfang database were searched by computer in PubMedus Cochrane Library.The time limit for retrieval is as of March 10, 2013, and 19 Chinese Journal of Stomatology are manually searched.The clinical randomized controlled trial of negative pressure drainage and open drainage for prevention of postoperative complications of parotid gland was carried out in a randomized controlled trial of .2 independent use of the criteria recommended by the Cochrane Network to evaluate the risk of bias in the literature and to extract data.Meta analysis was carried out with Revman5.2 software.Results: in 10 studies, bias risk assessment showed moderate bias risk. Meta analysis showed that compared with open drainage, negative pressure drainage could significantly reduce the incidence of postoperative complications (salivary fistula / effusion, hematoma) after parotid gland operation.To improve the comprehensive clinical curative effect and the quality of life of the patients (P 0.05).Conclusion: negative pressure drainage is effective and safe in preventing postoperative complications of parotid gland, but more high quality randomized controlled trials are needed.
【作者单位】：四川大学华西口腔医院头颈肿瘤外科口腔疾病研究国家重点实验室;
【分类号】：R782.2

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