同时行抗压力性尿失禁手术在盆腔器官脱垂患者盆底重建手术中的有效性的Meta分析

发布时间：2018-05-01 11:21

本文选题：盆腔器官脱垂 + 盆底重建　；参考：《实用妇产科杂志》2015年02期

【摘要】：目的:分析比较盆腔器官脱垂(POP)患者同时行盆底重建手术及抗压力性尿失禁手术和单纯行盆底重建手术的术后疗效。方法:计算机检索1999~2013年间Cochrane library、Embase、Medline等数据库。纳入符合条件的英文随机对照试验(RCT)文献,进行质量评估。运用Rev Man5.0软件进行Meta分析。结果:7个RCT文献纳入研究(n=642),经过Meta分析,单纯行盆底重建手术与盆底重建手术同时行抗压力性尿失禁手术相比,术后压力性尿失禁(RR=1.45,95%CI0.72~2.93,P=0.30)、急迫性尿失禁(RR=1.44,95%CI 0.73~2.84,P=0.29)、术后膀胱膨出(RR=1.30,95%CI 0.35~4.84,P=0.69)、术后性交困难(RR=1.20,95%CI 0.35~4.06,P=0.77)、术后再发POP(RR=0.87,95%CI 0.19~3.99,P=0.86)发生率和生活质量调查评分差异均无统计学意义。结论:和单纯盆底重建手术相比,同时行抗压力性尿失禁手术不能提高患者术后疗效,应妥善选择手术方式。
[Abstract]:Objective: to compare the effects of pelvic floor reconstruction, anti-stress urinary incontinence and pelvic floor reconstruction in patients with pelvic organ prolapse (POP). Methods: Cochrane libraryary Embase Medline and other databases were searched by computer from 1999 to 2013. The quality of RCTs was evaluated by inclusion of RCTs in eligible English randomized controlled trials (RCTs). Meta analysis was carried out with Rev Man5.0 software. Results: seven RCT documents were included in the study. After Meta analysis, pelvic floor reconstruction and pelvic floor reconstruction were performed simultaneously with anti-stress urinary incontinence. Postoperative stress urinary incontinence (RRN) 1.45595 CI0.722.93C 0.30, urgent urinary incontinence 0.7395 CI 0.732.84P0.29, postoperative cystocele 1.30c95 CI 0.354.84P0.69, postoperative dysphagia RRR1.2095CI 0.354.06m P0. 77, post operative PORR0.8795CI 0.199P0. 86) there was no significant difference in the incidence and quality of life (QOL) survey score between the patients with dysphasic dysphasia and postoperative dysphasia (RR1. 2095 CI 0.354.06 P0. 77, post-operative PORRR0. 879 CI 0. 199P0. 86) had no significant difference in the incidence and quality of life (QOL). Conclusion: compared with simple pelvic floor reconstruction surgery, anti-stress urinary incontinence surgery can not improve the postoperative efficacy.
【作者单位】：武汉大学人民医院;
【基金】：湖北省科技支撑计划项目(编号:2014BCB045) 湖北省卫生厅项目(编号:NX2011-5) 武汉大学协同创新项目(编号:523-266078)
【分类号】：R713

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