毛面与光面乳房假体隆乳术后并发包膜挛缩的系统评价

目的 对毛面乳房假体与光面乳房假体隆乳术后并发BakerIII级以上包膜挛缩的发生率进行系统评价.方法 计算机检索Medline(1966年5月至2006年5月)、Embase(1966年5月至2006年5月)、Cochrane图书馆(2005年第2期)和中国生物医学文献数据库(1979年5月至2006年5月),人工检索《中华整形外科杂志》(1985年创刊至2006年5月)和《Plastic and Reconstructive Surgery》(新疆医科大学图书馆馆藏期次),收集所有相关随机对照及半随机对照试验,采用RevMan 4.2.8进行Meta分析.结果 通过对6个随机对照试验进行系统评价,采用毛面乳房假体隆乳术后1、10年并发Baker Ill级以上包膜挛缩发生率明显低于光面乳房假体(P＜0.05).结论 毛面乳房假体隆乳术Baker III级以上包膜挛缩的发生率明显低于光面乳房假体.

Capsular contracture in breast augmentation with textured versus smooth mammary implants: a systematic review

OBJECTIVE: To evaluate the incidence of capsular contracture in breast augmentation with textured versus smooth mammary Implants. METHODS: Randomized controlled trials (RCTs) and clinical controlled trials (CCTs) were collected from Medline, Embase from May 1966 to May 2006, cochrane library (Issue 2, 2005), and CBM disc from May 1979 to May 2006. We handsearched Chinese Journal of Plastic Surgery (from establishment to May 2006) and Journal of Plastic and Renconstructive Surgery of America (from establishment to May 2006). RCTs were included. Data were extracted by two reviewers with designed extraction form RevMan. 4.2.8 software was used for data analysis. RESULTS: Six RCTs were included. The combined results of meta analysis showed that patients with textured implants had a lower tendency to develop capsules contracture than those with smooth implants either at one year or ten years after the breast augmentation. CONCLUSIONS: Compared with smooth mammary implants, textured surface implants significantly reduce the incidence of capsular contracture after breast augmentation.