Article record

重新审视耳科手术后加压包扎的作用：一项系统评价和荟萃分析。

Revisiting the Role of Pressure Dressing After Otologic Surgery: A Systematic Review and Meta-Analysis.

综述 Meta耳科IF 1.9Q2

文献信息

PMID	42720007
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Pey-Yu Chen 查看其他 3 位作者 Che-Yi Lin；Harrison W Lin；Mehdi Abouzari
作者单位	Department of Otorhinolaryngology-Head and Neck Surgery, MacKay Memorial Hospital, Taipei, Taiwan. 查看其他 3 条单位信息 Department of Audiology and Speech-Language Pathology, Mackay Medical University, New Taipei City, Taiwan.；Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, CA.；Department of Otolaryngology Head and Neck Surgery, National Taiwan University Hospital, Taipei City, Taiwan.
期刊	Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
SCI 分区	Q2
IF	1.9
研究类型	综述 Meta · 临床
所属专科	耳科

中文摘要

目的： 评估耳科手术后加压包扎的有效性，以提供循证术后护理依据。
检索数据库： PubMed、Embase、Cochrane Library、EBSCOhost和Airiti Library。
方法： 纳入比较耳科手术后使用与不使用加压包扎患者并报告术后手术部位结局的摘要。提取每组[加压包扎（PD）与非加压包扎（NPD）]的手术耳数和并发症事件数。并发症的选定效应量为Peto比值比（OR）。使用DerSimonian和Laird随机效应模型合并各研究的效应估计值。使用混合效应模型进行亚组分析。
结果： 共纳入来自11项研究的1358只手术耳，其中9种并发症符合荟萃分析条件。血肿/血清肿的比值在两组间无差异。PD组有3种并发症的比值显著更高：耳廓瘀斑（1.8% [4/227] vs. 0% [0/223]；比值比[OR]：7.34，95% CI：1.03-52.28；I2=0%）、包扎相关头痛（31.3% [25/80] vs. 9.0% [8/89]；OR：5.61，95% CI：2.44-12.92；I2=0%）和皮肤红斑（20.9% [76/363] vs. 0.6% [2/336]；OR：8.44，95% CI：4.54-15.69；I2=4.6%）。
结论： PD与轻微并发症（皮肤红斑、耳廓瘀斑和疼痛）的比值增加相关，而未减少血肿/血清肿，提示在充分止血的情况下，耳科手术后常规使用PD可能是不必要的。

英文摘要

OBJECTIVE: To evaluate the effectiveness of pressure dressing after otologic surgery for evidence-based postoperative care.
DATABASES REVIEWED: PubMed, Embase, Cochrane Library, EBSCOhost, and Airiti Library.
METHODS: Abstracts compared patients with and without pressure dressing after otologic surgery and reported postoperative surgical site outcomes. The number of operated ears and complication events in each group [pressure dressing (PD) vs. nonpressure dressing (NPD)] was extracted. The selected effect measure for complications was the Peto odds ratio (OR). Effect estimates from individual studies were pooled using the DerSimonian and Laird random-effects model. Subgroup analyses were performed using a mixed-effects model.
RESULTS: A total of 1358 operated ears from 11 studies were included, including 9 complications eligible for meta-analysis. The odds of hematoma/seroma did not differ between groups. The PD group had significantly higher odds of 3 complications: auricular bruising (1.8% [4/227] vs. 0% [0/223]; odds ratio [OR]: 7.34, 95% CI: 1.03-52.28; I2=0%), dress-related headache (31.3% [25/80] vs. 9.0% [8/89]; OR: 5.61, 95% CI: 2.44-12.92; I2=0%), and skin erythema (20.9% [76/363] vs. 0.6% [2/336]; OR: 8.44, 95% CI: 4.54-15.69; I2=4.6%).
CONCLUSIONS: PD was associated with increased odds of minor complications (skin erythema, auricular bruising, and pain) without reducing hematoma/seroma, suggesting that routine use of PD after otologic surgery may be unnecessary with adequate hemostasis.