序贯与独立冠状动脉旁路移植术吻合口和桥血管通畅率的比较：一项荟萃分析。
The patency of graft and anastomoses in sequential and individual coronary artery bypass grafting: A meta-analysis.
机构信息
Department of Cardiovascular Surgery, Affiliated Hospital of Weifang Medical University; Weifang-China.
Department of Operating Room, Affiliated Hospital of Weifang Medical University; Weifang-China.
出版信息
Anatol J Cardiol. 2020 Oct;24(4):235-243. doi: 10.14744/AnatolJCardiol.2020.10406.
OBJECTIVE
: To compare the patency of graft and anastomoses in sequential and individual coronary artery bypass grafting (CABG).
METHODS
: Our study used the Cochrane Library database, Excerpta Medica database, Web of Science, and PubMed. Studies comparing the outcomes of graft or anastomosis patency were assessed independently by two reviewers to identify the literature of satisfaction. We used Review Manager and STATA software for statistical analysis.
RESULTS
: Fifteen cohort studies were analyzed, including 10681 patients, 12957 grafts, and 4341 anastomoses, under sequential and individual CABG. Compared with the sequential group, the individual one is statistically significant in the graft patency [risk ratio (RR)=1.07, 95% confidence interval (CI ) 1.01–1.13; p=0.02] and anastomosis patency (RR=1.06, 95% CI 1.01–1.12; p=0.005).
CONCLUSION
: Our study suggested that the patency of the individual group, in terms of graft and anastomosis patency, is better than that of the sequential one.
目的
比较序贯和独立冠状动脉旁路移植术（CABG）中移植物和吻合口通畅情况。
方法
本研究使用 Cochrane 图书馆数据库、Excerpta Medica 数据库、Web of Science 和 PubMed。由两位评审员独立评估比较移植物或吻合口通畅结果的研究，以确定符合条件的文献。我们使用 Review Manager 和 STATA 软件进行统计分析。
结果
分析了 15 项队列研究，包括 10681 例患者、12957 个移植物和 4341 个吻合口，在序贯和独立 CABG 下。与序贯组相比，个体组的移植物通畅率[风险比（RR）=1.07，95%置信区间（CI）1.01–1.13；p=0.02]和吻合口通畅率（RR=1.06，95%CI 1.01–1.12；p=0.005）具有统计学意义。
结论
本研究表明，在移植物和吻合口通畅方面，个体组的通畅率优于序贯组。
Zotero 插件