■本荟萃分析旨在比较保留肋间臂神经(ICBN)与解剖对乳腺手术患者的疗效。
■作者搜索了WebofScience,PubMed,科克伦中部,和Scopus从成立到2023年3月。筛选合格研究的记录,在使用RevMan5.4版的荟萃分析模型中,将所有相关结局与相应的95%CI合并为比值比(OR).
■来自11项研究(1021例患者)的这些结果在麻醉和麻醉方面有利于保留ICBN而不是解剖[OR0.50,(95%CI,0.31-0.82);P=0.006]和[OR0.33,(95%CI,0.16-0.68);P=0.003],分别。而在感觉过度的情况下,总体效果有利于ICBN解剖而不是保存[OR4.34,(95%CI,1.43-13.15);P=0.01]。相反,两组间疼痛差异无统计学意义[OR0.68,(95%CI,0.28-1.61)P=0.38],感觉异常[OR0.88,(95%CI,0.49-1.60);P=0.68],和镇痛[OR1.46,(95%CI,0.05-45.69);P=0.83]。
■这项荟萃分析显示,与解剖相比,保留ICBN对麻醉和麻醉的感觉参数紊乱具有显着影响。建议使用更大样本量的进一步研究,以在更广泛的参数范围内精确比较两种技术。
UNASSIGNED: This meta-analysis aimed to compare the efficacy of preservation of the intercostobrachial nerve (ICBN) versus its dissection for patients who underwent breast surgery.
UNASSIGNED: The authors searched Web of Science, PubMed, Cochrane CENTRAL, and Scopus from inception until March 2023. Records were screened for eligible studies, and all relevant outcomes were pooled as an odds ratio (OR) with the corresponding 95% CI in the meta-analysis models using RevMan version 5.4.
UNASSIGNED: These results from 11 studies (1021 patients) favored preservation of the ICBN over its dissection in terms of anaesthesia and hypaesthesia [OR 0.50, (95% CI, 0.31-0.82); P = 0.006] and [OR 0.33, (95% CI, 0.16-0.68); P = 0.003], respectively. Whereas the overall effect favored ICBN dissection over preservation in the case of hyperaesthesia [OR 4.34, (95% CI, 1.43-13.15); P = 0.01]. Conversely, no significant variance was detected between the two groups in terms of pain [OR 0.68, (95% CI, 0.28-1.61) P = 0.38], paraesthesia [OR 0.88, (95% CI, 0.49-1.60); P = 0.68], and analgesia [OR 1.46, (95% CI, 0.05-45.69); P = 0.83].
UNASSIGNED: This meta-analysis revealed that the preservation of the ICBN has a significant effect on the disturbance of sensory parameters of hypaesthesia and anaesthesia when compared to its dissection. Further studies with larger sample sizes are recommended to precisely compare both techniques on a wider range of parameters.