带可视化的微聚焦超声(MFU-V)的有效性和安全性:系统回顾与元分析》。

IF 3 2区 医学 Q1 SURGERY Aesthetic Surgery Journal Pub Date : 2024-11-14 DOI:10.1093/asj/sjae228
Mojgan Amiri, Guardmond Ajasllari, Adea Llane, Gabriela Casabona, Tatjana Pavicic, Julia Sevi, Julieta Spada, Vasanop Vachiramon, Rossana Vasconcelos, Siew Tuck Wah, Taulant Muka, Sabrina Guillen Fabi
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引用次数: 0

摘要

可视化微聚焦超声波(MFU-V)是一种先进的非侵入性美容疗法,被广泛用于提拉和紧致皮肤。我们进行了一项系统性回顾和荟萃分析,以评估 MFU-V 治疗的美学效果、患者满意度、皮肤质量和安全性。我们对截至 2023 年的 5 个文献数据库进行了全面检索。使用随机效应模型计算了汇总效应估计值和相应的 95% 置信区间 (95%CI)。在 4,019 篇参考文献中,共纳入了 42 项研究。元分析显示,89% 的患者(95% CI:81%- 94%;I2:63%,n=411)在某种程度上表现出了由研究者评估的整体美学改善。同样,84% 的患者(95% CI:73- 91%;I2:64%,n=312)表示治疗后效果有所改善。84%的患者(95% CI:61%- 94%;I²:52%,人数=326)表示对任何程度的治疗都感到满意,而当患者回答 "中性 "时,满意度为 62%(95% CI:37%- 82%;I²:3%,人数=172)。皮肤质量(如皱纹、质地)也有所改善。患者报告的汇总平均疼痛评分为 4.85(95% CI:4.35-5.35;I2:97%,n=785),表明疼痛程度适中。常见的不良反应包括红斑、水肿、肿胀、瘀伤和触痛,所有这些不良反应的严重程度一般为轻度至中度。总体而言,我们的分析表明,MFU-V 治疗后,患者的整体美观度和满意度显著提高,疼痛感适中,安全性总体良好。然而,中性反应可能被误认为阳性反应,这可能导致治疗效果被高估。这些研究结果突出表明,有必要进行精心设计的试验,以进一步探索 MFU-V 的临床应用。
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Microfocused Ultrasound With Visualization (MFU-V) Effectiveness and Safety: A Systematic Review and Meta-Analysis.

Microfocused ultrasound with visualization (MFU-V) is an advanced, non-invasive cosmetic procedure widely used in skin lifting and tightening. We performed a systematic review and meta-analysis to evaluate the aesthetic effectiveness, patients' satisfaction, skin quality, and safety profile of MFU-V treatment. A comprehensive search of 5 bibliographic databases up to 2023 was conducted. Pooled effect estimates using random effects models and corresponding 95% confidence intervals (95% CI) were calculated. Out of 4,019 references, 42 studies were included. Meta-analysis showed 89% of patients (95% CI: 81- 94%; I2: 63%, n=411) demonstrated some degree of global aesthetic improvement, as assessed by investigators. Similarly, 84% of patients (95% CI: 73- 91%; I2: 64%, n=312) reported improvement following treatment. Satisfaction of any level was reported by 84% of patients (95% CI: 61- 94%; I²: 52%, n=326), and 62% (95% CI: 37- 82%; I²: 3%, n=172) when 'neutral' as a response was provided for the patients. Skin quality (e.g., wrinkles, texture) also improved. Patients reported a pooled mean pain score of 4.85 (95% CI: 4.35, 5.35; I2: 97%, n=785), indicating moderate pain. Common adverse events included erythema, edema, swelling, bruising, and tenderness, all of which were generally mild to moderate in severity. Overall, our analysis demonstrated a notable increase in global aesthetic improvement and patients' satisfaction following MFU-V treatment, accompanied by moderate pain and a generally favorable safety profile. However, the potential misclassification of neutral responses as positive could result in an overestimation of the treatment's efficacy. These findings highlight the need for well-designed trials to further explore MFU-V's clinical applications.

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来源期刊
CiteScore
6.20
自引率
20.70%
发文量
309
审稿时长
6-12 weeks
期刊介绍: Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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