{"title":"人类微移植技术应用的系统回顾和荟萃分析。","authors":"Rawan Almujaydil, Yumeng Yan, Sandra Kuswandani, Faisal Alotaibi, Jeanie Suvan, Linh Nguyen, Francesco D'Aiuto","doi":"10.1177/03000605251337859","DOIUrl":null,"url":null,"abstract":"<p><p>AimTo critically assess the evidence on micrografting technology to evaluate its effectiveness when used alone or as an adjunct to regenerative treatment in various medical and dental applications.MethodsSeven electronic databases, including Cochrane Central Register of Controlled Trials (CENTRAL), Medline Ovid, Embase Ovid, Cumulative Index to Nursing and Allied Health Literature EBSCOhost, Web of Science Core Collection, System for Information on Grey Literature in Europe, and Bielefeld Academic Search Engine, were searched until 15 July 2024. Risk of bias assessment and qualitative and quantitative (random-effect models) analyses were conducted.ResultsA total of 55 studies were identified. Most studies (n = 24) reported on burns, followed by 10 studies on ulcers/wounds, 7 on androgenetic alopecia, 3 on vitiligo, 3 on cartilage and bone defects, and 1 on coronary artery bypass graft surgery. Dental applications included sinus lift (three studies), socket preservation (two studies), and intrabody defects (two studies). A meta-analysis of four studies on the management of burns confirmed that micrografting led to reduced healing periods compared with other grafting techniques (weighted mean difference: -0.98, 95% confidence interval: -1.84 to -0.12, p = 0.03), with a high level of heterogeneity (83.57%) and risk of bias.ConclusionMicrografting technology may lead to shorter healing time and improved patient morbidity.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251337859"},"PeriodicalIF":1.5000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103683/pdf/","citationCount":"0","resultStr":"{\"title\":\"Systematic review and meta-analysis of the use of micrografting technology in humans.\",\"authors\":\"Rawan Almujaydil, Yumeng Yan, Sandra Kuswandani, Faisal Alotaibi, Jeanie Suvan, Linh Nguyen, Francesco D'Aiuto\",\"doi\":\"10.1177/03000605251337859\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>AimTo critically assess the evidence on micrografting technology to evaluate its effectiveness when used alone or as an adjunct to regenerative treatment in various medical and dental applications.MethodsSeven electronic databases, including Cochrane Central Register of Controlled Trials (CENTRAL), Medline Ovid, Embase Ovid, Cumulative Index to Nursing and Allied Health Literature EBSCOhost, Web of Science Core Collection, System for Information on Grey Literature in Europe, and Bielefeld Academic Search Engine, were searched until 15 July 2024. Risk of bias assessment and qualitative and quantitative (random-effect models) analyses were conducted.ResultsA total of 55 studies were identified. Most studies (n = 24) reported on burns, followed by 10 studies on ulcers/wounds, 7 on androgenetic alopecia, 3 on vitiligo, 3 on cartilage and bone defects, and 1 on coronary artery bypass graft surgery. Dental applications included sinus lift (three studies), socket preservation (two studies), and intrabody defects (two studies). A meta-analysis of four studies on the management of burns confirmed that micrografting led to reduced healing periods compared with other grafting techniques (weighted mean difference: -0.98, 95% confidence interval: -1.84 to -0.12, p = 0.03), with a high level of heterogeneity (83.57%) and risk of bias.ConclusionMicrografting technology may lead to shorter healing time and improved patient morbidity.</p>\",\"PeriodicalId\":16129,\"journal\":{\"name\":\"Journal of International Medical Research\",\"volume\":\"53 5\",\"pages\":\"3000605251337859\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103683/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of International Medical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/03000605251337859\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of International Medical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/03000605251337859","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
摘要
目的批判性地评估微移植技术的证据,以评估其单独使用或作为各种医学和牙科应用中再生治疗的辅助手段的有效性。方法截至2024年7月15日,检索Cochrane中央对照试验注册库(Central)、Medline Ovid、Embase Ovid、护理与联合健康文献累积索引EBSCOhost、Web of Science核心馆藏、欧洲灰色文献信息系统和Bielefeld学术搜索引擎等7个电子数据库。进行偏倚风险评估及定性和定量(随机效应模型)分析。结果共纳入55项研究。大多数研究(n = 24)报道了烧伤,10项研究报道了溃疡/伤口,7项研究报道了雄激素性脱发,3项研究报道了白癜风,3项研究报道了软骨和骨缺损,1项研究报道了冠状动脉搭桥手术。牙科应用包括鼻窦提升(3项研究)、牙槽保存(2项研究)和体内缺损(2项研究)。一项关于烧伤处理的四项研究的荟萃分析证实,与其他移植技术相比,微移植导致愈合时间缩短(加权平均差:-0.98,95%可信区间:-1.84至-0.12,p = 0.03),具有高度异质性(83.57%)和偏倚风险。结论显微移植技术可缩短患者的愈合时间,降低患者的发病率。
Systematic review and meta-analysis of the use of micrografting technology in humans.
AimTo critically assess the evidence on micrografting technology to evaluate its effectiveness when used alone or as an adjunct to regenerative treatment in various medical and dental applications.MethodsSeven electronic databases, including Cochrane Central Register of Controlled Trials (CENTRAL), Medline Ovid, Embase Ovid, Cumulative Index to Nursing and Allied Health Literature EBSCOhost, Web of Science Core Collection, System for Information on Grey Literature in Europe, and Bielefeld Academic Search Engine, were searched until 15 July 2024. Risk of bias assessment and qualitative and quantitative (random-effect models) analyses were conducted.ResultsA total of 55 studies were identified. Most studies (n = 24) reported on burns, followed by 10 studies on ulcers/wounds, 7 on androgenetic alopecia, 3 on vitiligo, 3 on cartilage and bone defects, and 1 on coronary artery bypass graft surgery. Dental applications included sinus lift (three studies), socket preservation (two studies), and intrabody defects (two studies). A meta-analysis of four studies on the management of burns confirmed that micrografting led to reduced healing periods compared with other grafting techniques (weighted mean difference: -0.98, 95% confidence interval: -1.84 to -0.12, p = 0.03), with a high level of heterogeneity (83.57%) and risk of bias.ConclusionMicrografting technology may lead to shorter healing time and improved patient morbidity.
期刊介绍:
_Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis.
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Print ISSN: 0300-0605