腹腔镜食管旁疝修复中补片的使用：一项荟萃分析和风险收益分析

数据集获取（Figshare）

• 源站标题：Use of Mesh in Laparoscopic Paraesophageal Hernia Repair: A Meta-Analysis and Risk-Benefit Analysis
• DOI：10.1371/journal.pone.0139547
• 发布日期：2015-10-15
• 文件数：4 个
• 文件总体积：354.63 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_Use_of_Mesh_in_Laparoscopic_Paraesophageal_Hernia_Repair_A_Meta_Analysis_and_Risk_Benefit_Analysis_/1577302

命令行下载

curl -L -o "S1_PRISMA_Checklist.doc" "https://ndownloader.figshare.com/files/2361994"
curl -L -o "S1_Table.docx" "https://ndownloader.figshare.com/files/2361995"
curl -L -o "S2_Table.docx" "https://ndownloader.figshare.com/files/2361996"
curl -L -o "S3_Table.docx" "https://ndownloader.figshare.com/files/2361997"

文件清单

• S1_PRISMA_Checklist.doc（62.46 KB）
• S1_Table.docx（60.14 KB）
• S2_Table.docx（179.77 KB）
• S3_Table.docx（52.26 KB）

文件总体积 354.63 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Introduction
Mesh augmentation seems to reduce recurrences following laparoscopic paraesophageal hernia repair (LPHR). However, there is an uncertain risk of mesh-associated complications. Risk-benefit analysis might solve the dilemma.
Materials and Methods
A systematic literature search was performed to identify randomized controlled trials (RCTs) and observational clinical studies (OCSs) comparing laparoscopic mesh-augmented hiatoplasty (LMAH) with laparoscopic mesh-free hiatoplasty (LH) with regard to recurrences and complications. Random effects meta-analyses were performed to determine potential benefits of LMAH. All data regarding LMAH were used to estimate risk of mesh-associated complications. Risk-benefit analysis was performed using a Markov Monte Carlo decision-analytic model.
Results
Meta-analysis of 3 RCTs and 9 OCSs including 915 patients revealed a significantly lower recurrence rate for LMAH compared to LH (pooled proportions, 12.1% vs. 20.5%; odds ratio (OR), 0.55; 95% confidence interval (CI), 0.34 to 0.89; p = 0.04). Complication rates were comparable in both groups (pooled proportions, 15.3% vs. 14.2%; OR, 1.02; 95% CI, 0.63 to 1.65; p = 0.94). The systematic review of LMAH data yielded a mesh-associated complication rate of 1.9% (41/2121; 95% CI, 1.3% to 2.5%) for those series reporting at least one mesh-associated complication. The Markov Monte Carlo decision-analytic model revealed a procedure-related mortality rate of 1.6% for LMAH and 1.8% for LH.
Conclusions
Mesh application should be considered for LPHR because it reduces recurrences at least in the mid-term. Overall procedure-related complications and mortality seem to not be increased despite of potential mesh-associated complications.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0139547（source: https://plos.figshare.com/articles/dataset/_Use_of_Mesh_in_Laparoscopic_Paraesophageal_Hernia_Repair_A_Meta_Analysis_and_Risk_Benefit_Analysis_/1577302）。