开窗减压术与刮治术治疗颌骨囊肿临床疗效比较的Meta分析

Meta-analysis of clinical efficacy of fenestration decompression and curettage in the treatment of jaw cyst

目的通过Meta分析评价开窗减压术与刮治术治疗颌骨囊肿的临床疗效。方法检索PubMed、CochraneLibrary、中国知网、中国生物医学文献服务系统、维普、万方数据等数据库自建库至2024年6月发表的开窗减压术与刮治术比较治疗颌骨囊肿的随机对照试验,采用RevMan 5.4软件进行Meta分析,比较两种方法治疗后3、6、12个月的囊腔体积缩小率、骨质增生厚度、骨密度。结果共纳入14篇文献。术后3、6、12个月,开窗减压术后囊腔体积缩小率、骨密度均显著优于刮治术,术后6、12个月,开窗减压术后骨质增生厚度均显著大于刮治术。结论开窗减压术治疗颌骨囊肿在囊腔体积缩小率、骨质增生厚度、骨密度方面的疗效优于刮治术。

Objective Meta-analysis was performed to evaluate the clinical efficacy of fenestration decompression and curettage in the treatment of jaw cyst.Methods Randomized controlled trials comparing fenestration decompression and curettage in treatment of jaw cysts were retrieved from PubMed,Cochrane Library,CNKI,SinoMed,VIP and Wanfang data from built databases to June 2024.A Meta-analysis was performed using RevMan 5.4 software to compare the rate of capsule volume reduction,bone hyperplasia thickness and bone density at 3,6 and 12 months after treatment with two methods.Results A total of 14 literatures were included.At 3,6 and 12 months after operation,rate of capsule volume reduction and bone density after fenestration decompression were significantly better than that after curettage.At 6 and 12 months after operation,bone hyperplasia thickness after fenestration decompression were significantly greater than that after curettage.Conclusion Fenestration decompression is superior to curettage in the treatment of jaw cyst in terms of rate of capsule volume reduction,bone hyperplasia thickness and bone density.