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使用毛面与光面乳房植入物进行隆乳术的并发症:一项系统评价方案

Complications in breast augmentation with textured versus smooth breast implants: a systematic review protocol.

作者信息

Wang Chenglong, Luan Jie, Panayi Adriana C, Orgill Dennis P, Xin Minqiang

机构信息

Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

Division of Plastic Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA.

出版信息

BMJ Open. 2018 Apr 10;8(4):e020671. doi: 10.1136/bmjopen-2017-020671.

DOI:10.1136/bmjopen-2017-020671
PMID:29643164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5898288/
Abstract

INTRODUCTION

Breast augmentation is one of the most popular aesthetic plastic surgeries worldwide. There are various types of breast implants, and these can be categorised into different broad groups based on their content, shape or surface, to name a few. When looking at the surface of the shell, they can be categorised into two main kinds: textured and smooth implants. To our knowledge, a literature review and meta-analysis of the complications of these two types of implants when used for aesthetic breast augmentation has yet to be written.

METHODS AND ANALYSIS

The PubMed, EMBASE and Cochrane electronic databases will be searched from their inception to 1 October 2017. Only cohort studies, case series, case-control studies and randomised controlled trials will be included. Identification of the articles for inclusion will be carried out by two independent researchers, and data will be extracted from these studies for analysis. This protocol defines the inclusion and exclusion criteria, as well as the primary and secondary outcomes. Statistical data analysis will be conducted in Review Manager V.5.3 from Cochrane Collaboration. The methodological quality of the included studies will also be assessed.

ETHICS AND DISSEMINATION

This review will analyse secondary data collected from studies which are not linked to any specific individual. Once completed, the conclusions of the review could prove to be a valuable resource for plastic surgeons to conduct aesthetic implant procedures. The review will be submitted for publication in a peer-reviewed journal and presented at various national and international conferences.

PROSPERO REGISTRATION NUMBER

CRD42017078727.

摘要

引言

隆胸是全球最受欢迎的美容整形手术之一。乳房植入物有多种类型,可根据其内容物、形状或表面等进行不同的大致分类。从外壳表面来看,可分为两种主要类型:有纹理的植入物和光滑的植入物。据我们所知,尚未有关于这两种类型的植入物用于美容隆胸并发症的文献综述和荟萃分析。

方法与分析

将检索PubMed、EMBASE和Cochrane电子数据库,检索时间从建库至2017年10月1日。仅纳入队列研究、病例系列研究、病例对照研究和随机对照试验。由两名独立研究人员进行纳入文章的识别,并从这些研究中提取数据进行分析。本方案定义了纳入和排除标准,以及主要和次要结局。将使用Cochrane协作网的Review Manager V.5.3进行统计数据分析。还将评估纳入研究的方法学质量。

伦理与传播

本综述将分析从与任何特定个体无关的研究中收集的二手数据。一旦完成,该综述的结论可能会成为整形外科医生进行美容植入手术的宝贵资源。该综述将提交至同行评审期刊发表,并在各种国内和国际会议上展示。

PROSPERO注册号:CRD42017078727。

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本文引用的文献

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Implications of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) for Breast Cancer Reconstruction: An Update for Surgical Oncologists.乳房植入物相关间变性大细胞淋巴瘤(BIA-ALCL)对乳腺癌重建的影响:外科肿瘤学家的最新进展。
Ann Surg Oncol. 2017 Oct;24(11):3174-3179. doi: 10.1245/s10434-017-6014-0. Epub 2017 Jul 31.
2
Current Trends in Breast Augmentation: An International Analysis.隆乳术的当前趋势:一项国际分析。
Aesthet Surg J. 2018 Feb 17;38(2):133-148. doi: 10.1093/asj/sjx104.
3
Understanding rare adverse sequelae of breast implants: anaplastic large-cell lymphoma, late seromas, and double capsules.了解乳房植入物的罕见不良后遗症:间变性大细胞淋巴瘤、晚期血清肿和双包膜。
Gland Surg. 2017 Apr;6(2):169-184. doi: 10.21037/gs.2016.11.03.
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Breast-implant texturing associated with delamination of capsular layers: A histological analysis of the double capsule phenomenon.与包膜层分层相关的乳房植入物纹理化:双包膜现象的组织学分析
Ann Chir Plast Esthet. 2017 Jun;62(3):196-201. doi: 10.1016/j.anplas.2017.02.001. Epub 2017 Mar 9.
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Different types of implants for reconstructive breast surgery.用于乳房重建手术的不同类型植入物。
Cochrane Database Syst Rev. 2016 May 16;2016(5):CD010895. doi: 10.1002/14651858.CD010895.pub2.
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Sientra primary and revision augmentation rupture trending and analysis with magnetic resonance imaging.利用磁共振成像对Sientra初次及翻修隆乳假体破裂情况进行趋势分析
Aesthet Surg J. 2015 May;35 Suppl 1:S33-42. doi: 10.1093/asj/sjv021.
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8
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials.Cochrane 协作网评估随机试验偏倚风险的工具。
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