{"title":"肺棘球蚴囊顶切除术和非囊顶切除技术的比较:系统综述和荟萃分析。","authors":"Yener Aydın, Kamber Kasalı, Ali Bilal Ulaş, Ayşenur Dostbil, İlker İnce, Atilla Eroglu","doi":"10.5152/eurasianjmed.2023.22281","DOIUrl":null,"url":null,"abstract":"<p><p>Surgery is the primary treatment for pulmonary hydatid cysts. This systematic review and meta-analysis aimed to compare the results of capitonnage and uncapitonnage techniques for the surgery of pulmonary hydatid cysts. Descriptive Boolean queries were used to search PubMed, Scopus, and Web of Science for articles published up to June 2022 to evaluate the outcomes of pulmonary hydatid cysts in terms of mortality, postoperative complications, and hospital stay. A total of 12 studies were included. An analysis of the total side effects revealed that there was a statistically significant difference between the capitonnage and uncapitonnage groups (odds ratio=3.81, 95% confidence interval=[1.75-8.31], P < .001). The results showed that more side effects were observed in the uncapitonnage group than in the capitonnage group. The risk of side effects in the uncapitonnage group is 3.81 times higher than in the capitonnage group. The results showed that more prolonged air leak was seen in uncapitonnage group than in the capitonnage group (odds ratio=4.18, 95% confidence interval=[1.64-10.64], P=.003). The results show that more empyema was observed in uncapitonnage group than in the capitonnage group (odds ratio=4.76, 95% confidence interval=[1.29-17.57], P =0.020). An analysis of atelectasis and mean hospital stay revealed that there was no statistically significant difference between the capitonnage and uncapitonnage groups. The results reveal the advantages of capitonnage in the treatment of pulmonary hydatid cysts and that the capitonnage method is quite effective in reducing complications compared to the uncapitonnage method.</p>","PeriodicalId":53592,"journal":{"name":"Eurasian Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075026/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparing Capitonnage and Uncapitonnage Techniques for Pulmonary Hydatid Cysts: A Systematic Review and Meta-analysis.\",\"authors\":\"Yener Aydın, Kamber Kasalı, Ali Bilal Ulaş, Ayşenur Dostbil, İlker İnce, Atilla Eroglu\",\"doi\":\"10.5152/eurasianjmed.2023.22281\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Surgery is the primary treatment for pulmonary hydatid cysts. 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The results showed that more prolonged air leak was seen in uncapitonnage group than in the capitonnage group (odds ratio=4.18, 95% confidence interval=[1.64-10.64], P=.003). The results show that more empyema was observed in uncapitonnage group than in the capitonnage group (odds ratio=4.76, 95% confidence interval=[1.29-17.57], P =0.020). An analysis of atelectasis and mean hospital stay revealed that there was no statistically significant difference between the capitonnage and uncapitonnage groups. 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引用次数: 0
摘要
手术是治疗肺棘球蚴的主要方法。本系统综述和荟萃分析旨在比较头切除和非头切除技术在肺棘球蚴囊肿手术中的结果。描述性布尔查询用于搜索PubMed、Scopus和Web of Science,查找截至2022年6月发表的文章,以评估肺棘球蚴病的死亡率、术后并发症和住院时间。共纳入12项研究。对总副作用的分析显示,头型和非头型组之间存在统计学上的显著差异(比值比=3.81,95%置信区间=[1.75-8.31],P<.001)。结果显示,未头型组的副作用比头型组多。非妊娠组的副作用风险是妊娠组的3.81倍。结果显示,无胸组的漏气时间比头戴组长(比值比=4.18,95%置信区间=[1.64-10.64],P=0.003)。结果显示,与头戴组相比,无胸的脓胸次数更多(比值比4.76,95%可信区间=[1.29-17.57],P=0.020)。肺不张与平均住院时间的分析结果显示,头颈部和非头颈部组之间没有统计学上的显著差异。结果显示了头状切除术在治疗肺棘球蚴病中的优势,并且与非头状切除法相比,头状切除方法在减少并发症方面相当有效。
Comparing Capitonnage and Uncapitonnage Techniques for Pulmonary Hydatid Cysts: A Systematic Review and Meta-analysis.
Surgery is the primary treatment for pulmonary hydatid cysts. This systematic review and meta-analysis aimed to compare the results of capitonnage and uncapitonnage techniques for the surgery of pulmonary hydatid cysts. Descriptive Boolean queries were used to search PubMed, Scopus, and Web of Science for articles published up to June 2022 to evaluate the outcomes of pulmonary hydatid cysts in terms of mortality, postoperative complications, and hospital stay. A total of 12 studies were included. An analysis of the total side effects revealed that there was a statistically significant difference between the capitonnage and uncapitonnage groups (odds ratio=3.81, 95% confidence interval=[1.75-8.31], P < .001). The results showed that more side effects were observed in the uncapitonnage group than in the capitonnage group. The risk of side effects in the uncapitonnage group is 3.81 times higher than in the capitonnage group. The results showed that more prolonged air leak was seen in uncapitonnage group than in the capitonnage group (odds ratio=4.18, 95% confidence interval=[1.64-10.64], P=.003). The results show that more empyema was observed in uncapitonnage group than in the capitonnage group (odds ratio=4.76, 95% confidence interval=[1.29-17.57], P =0.020). An analysis of atelectasis and mean hospital stay revealed that there was no statistically significant difference between the capitonnage and uncapitonnage groups. The results reveal the advantages of capitonnage in the treatment of pulmonary hydatid cysts and that the capitonnage method is quite effective in reducing complications compared to the uncapitonnage method.
期刊介绍:
Eurasian Journal of Medicine (Eurasian J Med) is an international, scientific, open access periodical published by independent, unbiased, and triple-blinded peer-review principles. The journal is the official publication of Atatürk University School of Medicine and published triannually in February, June, and October. The publication language of the journal is English. The aim of the Eurasian Journal of Medicine is to publish original research papers of the highest scientific and clinical value in all medical fields. The Eurasian J Med also includes reviews, editorial short notes and letters to the editor that either as a comment related to recently published articles in our journal or as a case report. The target audience of the journal includes researchers, physicians and healthcare professionals who are interested or working in in all medical disciplines.