自体软骨与硅胶假体隆鼻并发症的Meta分析  

Meta Analysis of Complications of Augmentation Rhinoplasty with Autogenous Cartilage and Silicone Prosthesis

作　　者：张亚茹[1] 王喜梅[1] 曹俊华[1] 谢百慧 丁暄 ZHANG Ya-ru;WANG Xi-mei;CAO Jun-hua;XIE Bai-hui;DING Xuan(Department of Plastic surgery,the First Affliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,Chin)

机构地区：[1]郑州大学第一附属医院整形外科,河南郑州450000

出　　处：《中国美容医学》2018年第4期30-34,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:对自体软骨隆鼻与固体硅胶假体隆鼻术后并发症的发生进行Meta分析。方法:检索Medline数据库、万方数据库1966年-2017年收录的文献资料,依据关键词检索病历报道及临床研究。所有文献及其摘要由两位评价者独立阅读、筛选后进行分析,并进一步进行系统评价和Meta分析。Meta分析内容为自体软骨和硅胶假体隆鼻术后假体外露、感染、假体形态不满意及再次手术的发生率。结果:硅胶假体隆鼻术后并发症发生率为17.0%明显高于自体软骨隆鼻术的1.4%,差异有统计学意义(P<0.01)。其中硅胶假体隆鼻术后假体外露率、形态不佳率及二次手术率均高于自体软骨隆鼻术后,差异有统计学意义(P<0.01)。结论:自体软骨及硅胶假体隆鼻术后,除感染发生率外,在形态满意率、假体外露率及二次手术率三个方面,单纯自体软骨隆鼻均优于单纯硅胶假体隆鼻。Objective Make a systematically analysis between silicone implant and self-cartilages in augmentation rhinoplasty. Methods First, the authors systematically reviewed the available literature on silicone implant and self-Cartilages in rhinoplasty by searching the MEDLINE database and WANFANG MED ONLINE （1966-2017）. Bibliographies include all relevant literature and clinical research. Second, all data were independently extracted by two authors, the authors performed a meta-analysis of silicone implant and self-cartilages in augmentation rhinoplasty including the exposure rate, the infection rate, the satisfaction rate, and the incidence of secondary surgery. Results The incidence of complications after silicone augmentation rhinoplasty was 30.1%, which was significantly higher than that of autogenous cartilage augmentation rhinoplasty（1.4%）, the difference was statistically signifcant（P〈0.01）. After exposure of silicone prosthesis rhinoplasty, the exposure rate, the satisfaction rate, and the incidence of secondary surgery were all higher than those of autogenous cartilage augmentation rhinoplasty（P〈0.01）. Conclusion The autogenous cartilage augmentation rhinoplasty was better than the silicone prosthesis augmentation rhinoplasty in terms of the shape satisfaction rate, the exposure of the prosthesis and the incidence of secondary operation.

关 键 词：隆鼻术 硅胶 自体软骨 感染 假体外露 

分 类 号：R622[医药卫生—整形外科]