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中心性浆液性脉络膜视网膜病变与感染之间的关联:一项系统评价和Meta分析。

Association between central serous chorioretinopathy and infection: a systematic review and Meta-analysis.

作者信息

Wu Da-Wen, Jiang Fei-Peng, Ge Ge, Zhang Mei-Xia

机构信息

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Research Laboratory of Macular Disease, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

出版信息

Int J Ophthalmol. 2024 Jun 18;17(6):1120-1127. doi: 10.18240/ijo.2024.06.18. eCollection 2024.

Abstract

AIM

To investigate the association between central serous chorioretinopathy (CSC) and (Hp) by summarizing all available evidence.

METHODS

The Scopus, Embase, EBSCO, PubMed, Web of Science, and Cochrane Library databases for all relevant studies published from inception to October 2022 were searched, and manually searched for relevant reference lists as a supplement. Studies investigating the association between CSC and Hp infection were included. Finally, 8 case-control studies were included in the Meta-analysis after study selection.

RESULTS

The results showed no significant correlation between Hp infection and CSC [odds ratio (OR) 1.89, 95% confidential interval (CI) 0.58-6.15, =96%, =0.29]. After subgroup analysis based on the degree of development of the study (developing/developed countries), it was found that the results of the two subgroups were the same as the whole, and no significant difference between the two subgroups existed. Meta-regression showed that the effect of sample size on heterogeneity among studies was more prominent (<0.01, adjusted =89.72%), which can explain 89.72% of the sources of heterogeneity.

CONCLUSION

This Meta-analysis reveals no significant correlation between Hp infection and CSC, which still warrants further well-designed extensive sample studies to reach a more reliable conclusion and promote a better understanding of the treatment of CSC.

摘要

目的

通过总结所有可用证据,探讨中心性浆液性脉络膜视网膜病变(CSC)与幽门螺杆菌(Hp)之间的关联。

方法

检索Scopus、Embase、EBSCO、PubMed、Web of Science和Cochrane图书馆数据库,查找从数据库建立至2022年10月发表的所有相关研究,并手动检索相关参考文献列表作为补充。纳入调查CSC与Hp感染之间关联的研究。最后,经过研究筛选,8项病例对照研究被纳入荟萃分析。

结果

结果显示Hp感染与CSC之间无显著相关性[比值比(OR)为1.89,95%置信区间(CI)为0.58 - 6.15,I² = 96%,P = 0.29]。基于研究开展程度(发展中国家/发达国家)进行亚组分析后,发现两个亚组的结果与整体一致,两组之间无显著差异。Meta回归显示样本量对研究间异质性的影响更为突出(P < 0.01,调整后R² = 89.72%),这可以解释89.72%的异质性来源。

结论

这项荟萃分析表明Hp感染与CSC之间无显著相关性,仍需进一步开展设计良好的大样本研究,以得出更可靠的结论,并促进对CSC治疗的更好理解。

相似文献

本文引用的文献

1
Central serous chorioretinopathy: An evidence-based treatment guideline.中心性浆液性脉络膜视网膜病变:循证治疗指南。
Prog Retin Eye Res. 2024 Jul;101:101236. doi: 10.1016/j.preteyeres.2024.101236. Epub 2024 Feb 1.
3
Central serous chorioretinopathy: A review.中心性浆液性脉络膜视网膜病变:综述。
Clin Exp Ophthalmol. 2023 Apr;51(3):243-270. doi: 10.1111/ceo.14201. Epub 2023 Jan 30.
9
FAMILIAL CENTRAL SEROUS CHORIORETINOPATHY.家族性中心性浆液性脉络膜视网膜病变。
Retina. 2019 Feb;39(2):398-407. doi: 10.1097/IAE.0000000000001966.

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