【目的】

对自体软骨隆鼻与固体硅胶假体隆鼻术后并发症的发生进行荟萃分析系统评价。

【方法】

检索Medline数据库、万方数据库自1966年到2016年数据。收集依据检索关键词检索结果所有相关文献的病历报道及临床研究。所有文献及其摘要由两位评价者独立阅读、筛选后进行分析，并进一步进行系统评价和荟萃分析。荟萃分析的内容为自体软骨和硅胶假体隆鼻术后发生假体外露、感染、假体形态不满意及再次手术的发生率。

【结果】

硅胶假体的感染率为1.16%，自体软骨的感染率为0.8%，p=0.46，差异不显著；硅胶假体的外露率为2.13%，自体软骨的外露率为0，p<0.01，差异显著；硅胶假体隆鼻的形态不满意率为6.53%，自体软骨隆鼻的形态不满意率为0.1%，p<0.01，差异显著；硅胶假体的二次手术率为7.25%，自体软骨隆鼻的二次手术率为0.5%，p<0.01，差异显著。

【结论】

在长期的手术技术和材料的更新中，自体软骨及硅胶材料是被时间检验的、依然在使用的材料，其各有优劣。但在并发症的发生率上，除感染发病率以外，在形态满意率、假体外露、及二次手术三个方面，单纯软骨隆鼻优于单纯硅胶假体隆鼻，具有显著性差异。

【Purpose】

    Make a systematically analysis between silicone implant and self-Cartilages in augmentation rhinoplasty.

【Method】

    First, the authors systematically reviewed the available literature on silicone implant and self-Cartilages in rhinoplasty by searching the MEDLINE database and WANFANG MED ONLINE (1966-2016). Bibliographies include all relevant literature and clinical research. Second, all data were independently extracted by two authors, the authors performed a meta-analysis of silicone implant and self-Cartilages in augmentation rhinoplasty including the extrusion rate, the infection rate, the satisfaction rate, and the incidence of secondary surgery.

【Result】

    In our meta-analysis, the infection rate of silicone implants was 1.16 percent while this rate of self-Cartilages is 0.8 percent (p=0.46), that shows no significantly difference. There is significantly difference between silicone implants and self-cartilages in extrusion rate while 2.13 percent of silicone implants and 0 of self-cartilages (p<0.01). The satisfaction rate of silicone implants is 6.35 percent while this rate of self-cartilages is 0.1 percent, the difference between them is significantly. The difference is also significantly in the incidence of secondary surgery. This rate is 7.25 percent of silicone implants and 0.5 percent of self-cartilages.

【Conclusion】

    While the improvement of technology and material in surgery, silicone implants and self-cartilages are all time tested, which are still used in clinic. Both of silicone implants and self-cartilages have their own strong points and weaknesses. But in the respect of complication, self-cartilages have great advantages of silicone implants in the extrusion rate, the satisfaction rate, and the incidence of secondary surgery, which differences our meta-analysis shown significantly differences