毛面乳房假体和光面乳房假体隆乳术后包膜挛缩率的Meta分析  

Capsular contracture in augmentation mammaplasty with smooth versus textured breast implants： a Meta analysis

作　　者：李诗言[1] 林樾[1] 王卉丽 谭谦[1] 

机构地区：[1]南京大学医学院附属鼓楼医院整形烧伤科,210008

出　　处：《中华医学美学美容杂志》2014年第4期248-253,共6页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：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.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.

关 键 词：乳房假体 隆乳术 包膜挛缩 META分析 

分 类 号：R655.8[医药卫生—外科学]