Int J Gynaecol Obstet. 2010 Nov;111(2):193-7. doi: 10.1016/j.ijgo.2010.07.002.
To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. To review evidence for the use of available means of adhesion prevention following gynaecological surgery.
Women undergoing pelvic surgery are at risk of developing abdominal and/or pelvic adhesive disease postoperatively. Surgical technique and commercial adhesion prevention systems may decrease the risk of postoperative adhesion formation.
The outcomes measured are the incidence of postoperative adhesions, complications related to the formation of adhesions, and further intervention relative to adhesive disease.
Medline, EMBASE, and The Cochrane Library were searched for articles published in English from 1990 to March 2009, using appropriate controlled vocabulary and key words. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, cohort studies, and meta-analyses specifically addressing postoperative adhesions, adhesion prevention, and adhesive barriers. Searches were updated on a regular basis and incorporated in the guideline to March 2009. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies.
The quality of evidence was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care.
回顾妇科手术后粘连形成的病因、发生率及相关因素。回顾妇科手术后使用现有粘连预防方法的证据。
盆腔手术的妇女术后有发生腹部和/或盆腔粘连性疾病的风险。手术技术和商业粘连预防系统可能降低术后粘连形成的风险。
测量的结局是术后粘连的发生率、与粘连形成相关的并发症以及与粘连性疾病相关的进一步干预。
检索 1990 年至 2009 年 3 月期间发表的英文文献，使用适当的受控词汇和关键词在 Medline、EMBASE 和 The Cochrane Library 上进行检索。结果仅限于专门针对术后粘连、粘连预防和粘连屏障的系统评价、随机对照试验/对照临床试验、队列研究和荟萃分析。定期更新检索并将其纳入 2009 年 3 月的指南。通过搜索卫生技术评估和卫生技术评估相关机构的网站、临床实践指南集、临床试验注册处以及国家和国际医学专业协会，确定了未发表的灰色文献。
使用加拿大预防保健工作组报告中描述的标准对证据质量进行评级。
