中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2014年
4期
248-253
,共6页
李诗言%林樾%王卉丽%谭谦
李詩言%林樾%王卉麗%譚謙
리시언%림월%왕훼려%담겸
乳房假体%隆乳术%包膜挛缩%Meta分析
乳房假體%隆乳術%包膜攣縮%Meta分析
유방가체%륭유술%포막련축%Meta분석
Breast implants%Breast augmentation%Capsular contracture%Meta analysis
目的 利用Meta分析方法定量比较光面乳房假体和毛面乳房假体隆乳术后的包膜挛缩发生率.方法 以breast augmentation、capsular contracture、smooth implant、textured implant、隆乳、乳房假体等检索词在MEDLINE数据库、EMBASE数据库、Cochrane图书馆、中国生物医学文献数据库、维普生物数据库等检索,最大限度地收集毛面乳房假体和光面乳房假体隆乳的文献,提取其包膜挛缩和其他并发症的数据进行整合,以获得比值比(odds ratio,OR)合并值.各合并数据使用RevMan 5.2软件进行分析.结果 对11项研究毛面乳房假体和光面乳房假体的临床对照试验进行Meta分析后得出,包膜挛缩发生率的合并OR值为0.32,95％可信区间(CI)为0.18～0.58,P=0.0002.除包膜挛缩外,其他并发症发生率的合并OR值为1.31,95％ CI为0.96～1.77,P=0.09.结论 毛面乳房假体隆乳术后发生包膜挛缩风险低于光面乳房假体.
目的 利用Meta分析方法定量比較光麵乳房假體和毛麵乳房假體隆乳術後的包膜攣縮髮生率.方法 以breast augmentation、capsular contracture、smooth implant、textured implant、隆乳、乳房假體等檢索詞在MEDLINE數據庫、EMBASE數據庫、Cochrane圖書館、中國生物醫學文獻數據庫、維普生物數據庫等檢索,最大限度地收集毛麵乳房假體和光麵乳房假體隆乳的文獻,提取其包膜攣縮和其他併髮癥的數據進行整閤,以穫得比值比(odds ratio,OR)閤併值.各閤併數據使用RevMan 5.2軟件進行分析.結果 對11項研究毛麵乳房假體和光麵乳房假體的臨床對照試驗進行Meta分析後得齣,包膜攣縮髮生率的閤併OR值為0.32,95％可信區間(CI)為0.18～0.58,P=0.0002.除包膜攣縮外,其他併髮癥髮生率的閤併OR值為1.31,95％ CI為0.96～1.77,P=0.09.結論 毛麵乳房假體隆乳術後髮生包膜攣縮風險低于光麵乳房假體.
목적 이용Meta분석방법정량비교광면유방가체화모면유방가체륭유술후적포막련축발생솔.방법 이breast augmentation、capsular contracture、smooth implant、textured implant、륭유、유방가체등검색사재MEDLINE수거고、EMBASE수거고、Cochrane도서관、중국생물의학문헌수거고、유보생물수거고등검색,최대한도지수집모면유방가체화광면유방가체륭유적문헌,제취기포막련축화기타병발증적수거진행정합,이획득비치비(odds ratio,OR)합병치.각합병수거사용RevMan 5.2연건진행분석.결과 대11항연구모면유방가체화광면유방가체적림상대조시험진행Meta분석후득출,포막련축발생솔적합병OR치위0.32,95％가신구간(CI)위0.18～0.58,P=0.0002.제포막련축외,기타병발증발생솔적합병OR치위1.31,95％ CI위0.96～1.77,P=0.09.결론 모면유방가체륭유술후발생포막련축풍험저우광면유방가체.
Objective To analyze the incidence of capsular contracture in breast augmentation with smooth versus textured breast implants using a Meta method.Methods Terms such as "breast augmentation"," capsular contracture"," smooth implant"," textured implant"," breast implant" were searched in databases such as MEDLINE,EMBASE,Cochrane Library,CBM and VIP.Documents about breast augmentation with textured and smooth implants were totally collected,and the data of these trials were extracted to obtain a pooled odds ratio of capsular contracture and other complications.Meta analyses were performed by RevMan 5.2 software to estimate the combined effect values.Results Eleven clinical controlled trials were included.The results of meta analysis showed that textured implants group and smooth implant group presented the risk of capsular contracture combined OR=0.32 (95％ CI,0.18 to 0.58,P=0.0002),and also presented the risk of other complications combined OR=1.31 (95％ CI,0.96 to 1.77,P=0.09).Conclusions Compared with smooth implants,textured implants reduce the risk of capsular contracture after breast augmentation.
