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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Complications of Neck Drains in Thyroidectomies: A Systematic Review andMeta-Analysis
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Complications of Neck Drains in Thyroidectomies: A Systematic Review andMeta-Analysis

机译：甲状腺切除术中颈部排水的并发症：系统评价和荟萃分析

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Objectives Intraoperative placement of neck drains in thyroidectomy patients remains a widespread practice, despite prevailing evidence discouraging this practice. This systematic review and meta-analysis was conducted to update the currently available evidence base. Methods Two independent investigators performed a comprehensive literature search to identify randomized control trials that evaluated postoperative complications associated with neck drains. This was conducted using four databases: Medline, Web of Science, EMBASE, and Cochrane. Identified articles were then screened using a strict eligibility criterion. Sixteen studies were included in the final quantitative analysis and assessed for risk of bias. All methods were in accordance with recommendations from the Cochrane Review Group, U.K. National Health Service Centre for Reviews and Dissemination, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results Our initial search yielded 743 articles. Of those, 16 were included for final quantitative synthesis. The overall analysis demonstrated that postoperative hematomas [pooled odds ratio (OR) = 2.09 (1.04, 4.21);P= .04] and surgical site infections [pooled OR = 3.85 (2.04, 7.28);P < .01] were significantly more likely in the drained group. Furthermore, hospital stays were longer in the drained group [pooled mean difference = 0.88 days (0.56, 1.20);P < .01]. There were no significant differences in fluid volumes within the thyroid bed between study groups [pooled mean difference = -2.30 mL (-4.82, 0.21);P= .07]. Conclusion The drained patient group had overall higher odds of hematomas, surgical site infections, and longer hospital stays. Therefore, we recommend against this practice of neck drain insertions in patients who have undergone thyroidectomies.Laryngoscope, 2020
机译：目的甲状腺手术患者术中放置颈部引流管仍然是一种广泛的做法，尽管现有证据不支持这种做法。本次系统回顾和荟萃分析旨在更新现有的证据基础。方法两名独立研究人员进行了全面的文献检索，以确定评估颈部引流术后并发症的随机对照试验。这项研究使用了四个数据库：Medline、科学网、EMBASE和Cochrane。然后，使用严格的资格标准对确定的文章进行筛选。最终的定量分析包括16项研究，并评估了偏倚风险。所有方法均符合Cochrane评审小组、英国国家卫生服务中心审查和传播的建议，以及系统评价和Meta分析指南的优选报告项目。结果初步检索到743篇文章。其中16个用于最终定量合成。总体分析表明，引流组术后血肿[合并优势比（OR）=2.09（1.04,4.21）；P=.04]和手术部位感染[合并优势比（OR）=3.85（2.04,7.28）；P<0.01]的可能性显著增加。此外，引流组住院时间更长[合并平均差=0.88天（0.56,1.20）；P<0.01]。研究组之间甲状腺床内液体量没有显著差异[汇总平均差异=-2.30毫升（-4.82,0.21）；P=.07]。结论引流患者组总体上有较高的血肿、手术部位感染和住院时间。因此，我们建议甲状腺切除术后患者不要进行颈部引流管插入。喉镜，2020年

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