Zip-Type 皮肤闭合装置与缝合钉在全膝关节置换术中的比较：一项荟萃分析。
Comparison between Zip-Type Skin Closure Device and Staple for Total Knee Arthroplasty: A Meta-Analysis.
机构信息
Department of Orthopedics, Tianjin Hospital, No. 406, Jiefang Nan Road, Tianjin, China 300211.
Department of Rehabilitation, Tianjin Hospital, No. 406, Jiefang Nan Road, Tianjin, China 300211.
出版信息
Biomed Res Int. 2021 May 13;2021:6670064. doi: 10.1155/2021/6670064. eCollection 2021.
PURPOSE
To compare the efficacy and safety of zip-type skin closure device (SCD) and staple in total knee arthroplasty (TKA).
METHODS
Potential academic articles were identified from PubMed, Springer, ScienceDirect, and Cochrane Library from the inception of electronic databases to July 2020. The statistical analyses were performed with RevMan 5.1.
RESULTS
One randomized controlled trial (RCT) and 5 non-RCTs met the inclusion criteria. Present meta-analysis reveals that SCD is associated with lower wound pain score, scar score, and readmission compared with a staple. No significant differences are identified in terms of wound total complications, dehiscence, blisters, and infection.
CONCLUSIONS
Comparing with a staple, zip-type SCD is a less painful skin closure method with fewer medical cost undergoing TKA.
目的
比较拉链型皮肤闭合装置（SCD）与钉合在全膝关节置换术（TKA）中的疗效和安全性。
方法
从电子数据库建立到 2020 年 7 月，从 PubMed、Springer、ScienceDirect 和 Cochrane Library 中确定了潜在的学术文章。使用 RevMan 5.1 进行统计分析。
结果
一项随机对照试验（RCT）和 5 项非 RCT 符合纳入标准。本荟萃分析表明，与钉合相比，SCD 与较低的伤口疼痛评分、疤痕评分和再入院率相关。在伤口总并发症、裂开、水疱和感染方面没有显著差异。
结论
与钉合相比，拉链型 SCD 是一种在接受 TKA 治疗时疼痛更小、医疗费用更低的皮肤闭合方法。
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