单孔腹腔镜对比传统腹腔镜手术治疗输卵管妊娠的Meta分析

发布时间：2018-04-24 11:50

  本文选题：单孔腹腔镜 + 多孔腹腔镜　； 参考：《中国内镜杂志》2017年04期

【摘要】：目的全面评价单孔腹腔镜手术(LESS)治疗输卵管妊娠的安全性、可行性及其他潜在优势。方法检索Pubmed、the Cochrane Library、Web of Science等英文及知网、中国生物医学文献等中文数据库中有关单孔与传统腹腔镜下输卵管妊娠手术治疗的对比研究,对选用的研究进行质量评价,运用Rev Man5.3软件行数据合并分析。结果最终纳入2个随机对照研究(RCT)和14个病例-对照研究,共1 541个患者,Meta分析结果提示,单孔对比多孔腹腔镜手术,延长了手术时间[加权均数差(WMD)=8.54,95%CI(2.43,14.64),P=0.006],但并没有增加总并发症[比值比(OR)=0.68,95%CI(0.27,1.71),P=0.410]及术中失血量[WMD=-0.01,95%CI(-2.51,2.48),P=0.990],也未延长术后肠排气时间[WMD=-0.45,95%CI(-1.72,0.82),P=0.490],且能缩短术后住院时间[WMD=-0.40,95%CI(-0.75,-0.06),P=0.020],减少术后止痛治疗[OR^=0.38,95%CI(0.22,0.67),P=0.000]。结论 LESS治疗输卵管妊娠,是安全、可行的,而且有住院时间短,术后疼痛轻的优点,有望取代传统腹腔镜手术(CLS)。
[Abstract]:Objective to evaluate the safety, feasibility and other potential advantages of single-hole laparoscopic surgery for tubal pregnancy. Methods A comparative study on single hole and traditional laparoscopic tubal pregnancy surgery was conducted in Pubmedus Cochrane Library of Science, Chinese biomedical literature and other Chinese databases, and the quality of the selected studies was evaluated. Using Rev Man5.3 software row data merging analysis. Results two randomized controlled trials (RCTs) and 14 case-control studies were carried out. A total of 1,541 patients underwent meta-analysis. 寤堕暱浜嗘墜鏈�鏃堕棿[鍔犳潈鍧囨暟宸，

本文编号：1796502