Spine Surgery, Affiliated Hospital of Weifang Medical University, 261031, China.
Comput Math Methods Med. 2022 Aug 29;2022:9548142. doi: 10.1155/2022/9548142. eCollection 2022.
A meta-analysis was performed to evaluate the effectiveness and safety of ultrasonic osteotomes in spine surgery to standard spinal surgery procedures.
Using the search keywords "bone curette", "cutter", "scalpel", "bone shaver", "aspirator", "osteotome", "ultrasonic", "piezosurgery", and "dent " in the databases of PubMed (1966-2021.12), Cochrane Library, Embase (1986-2018.12), Web of Science (1978-2021.12), and China Academic Journals Full-Text Database (CNKI, 1979-2021.12). Two researchers reviewed the literature, extracted and extensively assessed the data, and included information on the study quality. RevMan v5.3.5.0 was used for the meta-analysis.
A total of 10 trials with a total of 911 patients were included. The meta-analysis findings revealed that, when compared to traditional methods, ultrasonic osteotomes could save operation time (OR = -18.83, 95 percent CI (-22.76, -14.99), = 0.03) and reduce intraoperative bleeding (OR = -66.73, 95 percent CI (-75.70, -57.76), = 0.04) and postoperative complications (OR = 0.38, 95 percent CI (0.21, 0.69), = 0.001). There was, however, no significant difference in the hospital stay (OR = -1.34, 95 percent CI (-1.90, -0.77), = 0.23) and symptom improvement rate (OR = 1.03, 95 percent CI (0.73, 1.45), = 0.86).
There is evidence that using an ultrasonic osteotome in spine surgery is safe and effective and may minimize intraoperative bleeding and save time. However, there is no significant difference in symptom improvement rate, hospital stay length, or postoperative complications compared to standard surgical equipment. Therefore, more high-quality investigations are needed to corroborate the initial results.
为了评估超声骨刀在脊柱手术中相对于标准脊柱手术的有效性和安全性，进行了一项荟萃分析。
使用检索词“bone curette”、“cutter”、“scalpel”、“bone shaver”、“aspirator”、“osteotome”、“ultrasonic”、“piezosurgery”和“dent”，检索PubMed（1966 年至 2021 年 12 月）、Cochrane 图书馆、Embase（1986 年至 2018 年 12 月）、Web of Science（1978 年至 2021 年 12 月）和中国学术期刊全文数据库（CNKI，1979 年至 2021 年 12 月）中的文献。两位研究者对文献进行了综述，提取并广泛评估了数据，并纳入了研究质量信息。RevMan v5.3.5.0 用于荟萃分析。
共纳入 10 项试验，共 911 例患者。荟萃分析结果显示，与传统方法相比，超声骨刀可以缩短手术时间（OR=-18.83，95%CI（-22.76，-14.99）， =0.03），减少术中出血（OR=-66.73，95%CI（-75.70，-57.76）， =0.04）和术后并发症（OR=0.38，95%CI（0.21，0.69）， =0.001）。但住院时间（OR=-1.34，95%CI（-1.90，-0.77）， =0.23）和症状改善率（OR=1.03，95%CI（0.73，1.45）， =0.86）差异无统计学意义。
有证据表明，在脊柱手术中使用超声骨刀是安全有效的，可能会最大限度地减少术中出血并节省时间。然而，与标准手术设备相比，在症状改善率、住院时间和术后并发症方面没有显著差异。因此，需要更多高质量的研究来证实最初的结果。
