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抗血管生成抑制剂对卵巢癌患者伤口愈合的影响:一项荟萃分析。

Effect of angiogenesis inhibitors on wound healing in patients with ovarian cancer: A meta-analysis.

机构信息

School of medicine, Wuhan University of Science and Technology, Wuhan, China.

Department of Pharmacy, Peking University Third Hospital, Beijing, China.

出版信息

Int Wound J. 2024 Mar;21(3):e14737. doi: 10.1111/iwj.14737.

Abstract

Angiogenic inhibitors have been demonstrated to inhibit tumour cells in ovarian carcinoma, but the initial data are not accurate enough to indicate the influence of these drugs on the post-therapy wound healing. In order to assess the effect of angiogenic inhibitors on the treatment of wound healing in ovarian carcinoma, we performed a meta-analysis of related literature. For this meta-analysis, we looked up the data from 4 databases: PubMed, EMBASE, Web of Science and the Cochrane Library. All literature searches were performed up to October 2023. The ROBINS-I tool was applied to evaluate the risk of bias in the inclusion trials, and statistical analysis was performed with RevMan 5.3. In this research, 971 related research were chosen, and 9 of them were selected. These studies were published between 2013 and 2023. In all 9 trials, a total of 3902 patients were enrolled. There was a significant reduction in the risk of wound infection in the control group than in those who received angiogenesis inhibitors (OR, 0.66; 95% CI, 0.49-0.89 p = 0.007). The risk of developing an abscess was not significantly different from that of those who received angiogenesis inhibitors (OR, 0.80; 95% CI, 0.20-3.12 p = 0.74). The risk of perforation in the control group was smaller than that in those receiving angiogenic inhibitors (OR, 0.25; 95% CI, 0.11-0.56 p = 0.0006). There was a significant increase in the risk of injury and GI perforation in women who received angiogenic inhibitors than in the control group. But the incidence of abscess did not differ significantly among the two groups.

摘要

血管生成抑制剂已被证明可抑制卵巢癌中的肿瘤细胞,但最初的数据还不够准确,无法表明这些药物对治疗后伤口愈合的影响。为了评估血管生成抑制剂对卵巢癌伤口愈合治疗的影响,我们对相关文献进行了荟萃分析。在这项荟萃分析中,我们查阅了来自 4 个数据库的资料:PubMed、EMBASE、Web of Science 和 Cochrane Library。所有文献检索均截至 2023 年 10 月。我们使用 ROBINS-I 工具评估纳入试验的偏倚风险,并使用 RevMan 5.3 进行统计分析。在这项研究中,共选择了 971 项相关研究,其中 9 项被选中。这些研究发表于 2013 年至 2023 年之间。在所有 9 项试验中,共有 3902 名患者入组。与接受血管生成抑制剂的患者相比,对照组中伤口感染的风险显著降低(OR,0.66;95%CI,0.49-0.89,p=0.007)。发生脓肿的风险与接受血管生成抑制剂的患者无显著差异(OR,0.80;95%CI,0.20-3.12,p=0.74)。对照组中穿孔的风险小于接受血管生成抑制剂的患者(OR,0.25;95%CI,0.11-0.56,p=0.0006)。与对照组相比,接受血管生成抑制剂的女性发生损伤和胃肠道穿孔的风险显著增加,但两组脓肿的发生率无显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3763/10928245/0f728a5f8912/IWJ-21-e14737-g004.jpg

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