| 经腹腔对比后腹腔途径腹腔镜输尿管切开取石术临床疗效的Meta分析 |
| 投稿时间：2015-11-20 修订日期：2015-12-01 点此下载全文 |
| 引用本文：赵丹凤,任明华,麻立,郭鹏宇,倪少滨.经腹腔对比后腹腔途径腹腔镜输尿管切开取石术临床疗效的Meta分析[J].医学研究杂志,2016,45(6):153-157 |
| DOI：
10.11969/j.issn.1673-548X.2016.06.039 |
| 摘要点击次数: 868 |
| 全文下载次数: 864 |
|
|
| 中文摘要:目的 本研究运用Meta分析对经腹腔与经后腹腔途径进行腹腔镜输尿管切开取石术治疗中上段输尿管结石患者的临床疗效及安全性作出系统评价。方法 计算机检索PubMed、Cochrane图书馆、中国知网、万方数据库和维普数据库中，根据标准选取采用两种手术方式相对比的相关临床研究及随机对照试验。两名评价者独立筛选，提取和评估研究。统计分析采用Stata 12.0软件执行。结果 共有10篇文献选入Meta分析，其中5篇是随机对照试验，5篇为临床研究试验，经腹腔镜输尿管切开取石术（transperitoneal laparoscopic ureterolithotomy，TPLU）相比经后腹腔腹腔镜输尿管切开取石术（retroperitoneal laparoscopic ureterolithotomy，RPLU），RPLU虽然手术时间较TPLU稍长，但是其术后所需要给予的镇痛药剂量相对较少，肠麻痹的发生率更低，以及住院时间更短。结论 本Meta分析表明，在进行腹腔镜输尿管切开取石术时，经腹腔及后腹腔均是安全、有效且创伤小的，经后腹腔途径术后恢复时间更短、并发症更少，因此在临床上具有一定的应用价值。 |
| 中文关键词:腹腔 后腹腔 腹腔镜 输尿管结石 Meta分析 |
| |
| Transperitoneal Approach Versus Retroperitoneal Approach: A Meta-analysis of Laparoscopic Ureterolithotomy |
|
|
| Abstract:Objective To compare the efficacy and safety through of transperitoneal laparoscopic ureterolithotomy (TPLU) and retroperitoneal laparoscopic ureterolithotomy(RPLU). Methods A systematic computer search of PubMed, CNKI, Wanfang database, VIP database and the Cochrane Library was executed to identify retrospective observational and prospective randomized controlled trial studies that compared the outcomes of the two surgical approaches. Two reviewers independently screened, extracted and evaluated the included studies and executed statistical analysis by using Stata 12.0 software. Results A total of 10 literatures were fulfilled in this meta-analysis and 5RCTs included. The time of retroperitoneal laparoscopic ureterolithotomy(RPLU) was statistically significant longer than operation in transperitoneal laparoscopic ureterolithotomy(TPLU), but the visual pain analog score(VPAS),the occur of paralytic ileus, the length of stay in hospital and postoperative complications were lower in statistically. Conclusion This meta-analysis indicates that both of ways in laparoscopic ureterolithotomy in the treatment of patients with ureteral calculi were safe, effective and less trauma.But RPLU has a shorter length of hospitalization and less postoperative complications rate. Therefore, RPLU has a good prospect in the clinical setting. |
| keywords:Transperitoneal Retroperitoneal Laparoscopic Ureterolithotomy Meta-analysis |
| 查看全文 查看/发表评论 下载PDF阅读器 |
