光面与毛面乳房假体隆乳术后包膜挛缩率Meta分析  

Rate of capsular contracture among different breast implants in the last two decades:a meta-analysis

作　　者：王培培[1] 付子扬 李永涛[1] 任纪祯[2] 王彦进[2] 李守聚[1] Wang Peipei;Fu Ziyang;Li Yongtao;Ren Jizhen;Wang Yanjin;Li Shouju(Department of Burn Plastic Surgery,Heze Municipal Hospital,Heze 274000,China;Department of Plastic Surgery,the Affiliated Hospital of Qingdao University,Qingdao 266072,China)

机构地区：[1]山东省菏泽市立医院烧伤整形外科,山东菏泽274000 [2]青岛大学附属医院美容整形外科,山东青岛266072

出　　处：《中华医学美学美容杂志》2021年第6期513-516,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨光面与毛面乳房假体隆乳术后包膜挛缩发生率的对比情况,为整形外科医师在隆乳术中选择假体类型提供证据。方法2018年1月至2019年5月,在青岛大学图书馆检索万方、维普、中国知网、PubMed、Cochrane Library、Web of Science、Science Drirect Online等常用论文数据库,搜集相关的临床对照试验论文纳入Meta分析。结果纳入9项研究包含13165例美容就医者。研究发现,试验组毛面乳房假体隆乳和对照组光面乳房假体隆乳术后包膜挛缩发生率OR值=0.43(95% CI:0.35〜0.51),试验组术后包膜挛缩发生率低于对照组。在累积Meta分析及敏感性检验中,该结论未发生改变,较为稳定。用Egger回归对纳入文献的发表偏倚进行检验,未发现发表偏倚的存在。结论试验组毛面乳房假体的隆乳术后包膜挛缩发生率低于对照组光面乳房假体。Objective To study the rate of capsule contracture after operation of the textured surfacevS breast implants and the smooth surfaces breast implants,to provide evidence for plastic surgeons to select the type of breast implants during breast augmentation.Methods This study started from January 2018 to May 2019.Chinese and English databases including Wanfang Science and Technology Periodical F'ull-text Database,VIP Chinese Science and Technology Periodical Full-text Database(VIP)and CNKI,PubMed,Cochrane Library,Web of Science,Science Drirect Online were searched by computer.Some relevant studies were collected for this meta-analysis.Results We identified 9 studies including a total of 13165 subjects for the meta-analysis.The OR value of the study was 0.43(95%CI:0.35,0.51),and the incidence rate of capsule contracture in the experimental group was lower than that in the control group.In cumulative meta-analysis and sensitivity test,the conclusion was stable.And there was no publication bias found by Egger regression test.Conclusions The textured surfaces breast implants are better than the smooth surfaces breast implants in terms of incidence rate of capsule contracture after augmentation mammoplasty.

关 键 词：专题Meta分析 乳房置入物 隆乳术 包膜挛缩 

分 类 号：R655.8[医药卫生—外科学]