上睑下垂不同手术方式疗效比较的网状Meta分析  

COMPARISON OF SURGICAL METHODS IN THE TREATMENT OF BLEPHAROPTOSIS:A NETWORK META-ANALYSIS

作　　者：盛国民[1] 莫志洋 王虹霞[2] 李英 刘超 孙鹏飞 陈强[1] SHENG Guomin;MO Zhiyang;WANG Hongxia;LI Ying;LIU Chao;SUN Pengfei;CHEN Qiang(Department of Ma-xillofacial Plastic Surgery,Qinghai People’s Hospital,Xining 810007,China)

机构地区：[1]青海省人民医院颌面整形外科,青海西宁810007 [2]青海省人民医院麻醉科 [3]石家庄市人民医院整形美容中心 [4]中国医学科学院整形外科医院整形外科

出　　处：《精准医学杂志》2023年第6期514-516,520,共4页Journal of Precision Medicine

基　　金：河北省卫生健康委医学科学研究课题计划(2018-1015)。

摘　　要：目的比较上睑下垂的3种不同手术方式(联合筋膜鞘悬吊术、额肌瓣悬吊术和提上睑肌缩短术)的临床疗效。方法从中国知网、万方、维普、PubMed、Embase、The Cochrane Library等中英文数据库中检索联合筋膜鞘悬吊术、额肌瓣悬吊术和提上睑肌缩短术的相关文献,提取数据进行网状Meta分析。结果本研究共收录文献28篇,包含1816例患者。网状Meta分析结果显示,联合筋膜鞘悬吊术的治疗效果优于额肌瓣悬吊术和提上睑肌缩短术。但额肌瓣悬吊术和提上睑肌缩短术的疗效对比无明显统计学意义。SUCRA曲线预测3种手术方式的疗效依次为联合筋膜鞘悬吊术>额肌瓣悬吊术>提上睑肌缩短术。结论在上睑下垂手术治疗的3种方式中,联合筋膜鞘悬吊术的疗效最佳,整形外科医生应结合临床实际情况综合选择。Objective To compare the efficacy of three surgical methods in clinical treatment of blepharoptosis:conjoint fascial sheath suspension,frontalis muscle suspension,and shortening of musculus levator palpebrae superioris.Methods Articles related to the three surgical methods were retrieved from Chinese and English databases such as CNKI,Wanfang,VIP,PubMed,Embase,and The Cochrane Library.Data were extracted for network Meta-analysis.Results This study included 28 studies and 1816 patients.Meta-analysis showed that conjoint fascial sheath suspension outperformed frontalis muscle suspension and shortening of musculus levator palpebrae superioris.Moreover,there was no significant difference between frontalis muscle suspension and shortening of musculus levator palpebrae superioris.The SUCRA curve predicted that the efficacy of three surgical methods in clinical treatment of blepharoptosis was in the following order:conjoint fascial sheath suspension>frontalis muscle flap suspension>shortening of musculus levator palpebrae superioris.Conclusion In the surgical treatment of blepharoptosis,conjoint fascial sheath suspension shows the best outcome.However,plastic surgeons should make comprehensive choices based on the actual clinical situation.

关 键 词：上睑下垂 联合筋膜鞘悬吊术 额肌瓣悬吊术 提上睑肌缩短术 治疗结果 网状Meta分析 

分 类 号：R622[医药卫生—整形外科]