单孔腹腔镜与传统多孔腹腔镜在妇科手术中疗效比较的Meta分析

发布时间：2018-05-12 08:24

本文选题：单孔腹腔镜 + 传统腹腔镜　；参考：《中国内镜杂志》2015年04期

【摘要】：目的荟萃分析单孔腹腔镜与传统多孔腹腔镜在妇科手术中的疗效和安全性。方法全面检索Pubmed、Embase、Cochrane library、CBM、CNKI、VIP和万方等数据库,纳入单孔腹腔镜对比传统腹腔镜治疗妇科疾病的随机对照试验,使用Revman软件合并分析术后疗效和安全性的相关指标。结果最终纳入10项研究,共800例患者,Meta结果显示,单孔腹腔镜技术在术中失血量(MD=1.92,95%CI-0.49,4.33)、胃肠通气时间(MD=-0.47,95%CI-1.07,0.13)和住院天数(MD=-0.09,95%CI-0.26,0.07)方面与传统多孔腹腔镜差异无显著性。其次,单孔腹腔镜技术显著增加了手术时间(MD=15.06,95%CI 5.83,24.28),而缩短了术后下床时间(MD=-1.76,95%CI-3.13,-0.39)。在安全性方面,两组在并发症包括切口感染、术后发热和血肿等的发生方面差异无显著性(RR=1.07,95%CI 0.68,1,69)。结论基于目前的证据,在妇科手术中,应用单孔腹腔镜技术不能减少术中失血量、住院天数、胃肠通气时间以及并发症的发生风险等,但是可以提前下床活动时间,获得良好的美容效果。
[Abstract]:Objective to analyze the efficacy and safety of single-hole laparoscopy and traditional porous laparoscopy in gynecological surgery. Methods We searched the database of Pubmedus Embase Cochrane libraryus (CBM), CNKIJ VIP and Wanfang, and included in the randomized controlled trial of single hole laparoscopic therapy for gynecological diseases compared with traditional laparoscopy, and used Revman software to analyze the related indexes of postoperative efficacy and safety. Results A total of 800 patients were included in 10 studies. The results of Meta showed that there was no significant difference between single hole laparoscopic technique and traditional porous laparoscopy in terms of blood loss during operation, MD-0.42 ~ 95CI-0.49CI-0.49CI-0.49CI-1.070.13) and hospitalization days, which showed no significant difference from the traditional porous laparoscopy in terms of blood loss and gastrointestinal ventilation time (MD-0.47 ~ 95CI-1.070.13) and the number of days of hospitalization (MD-0.0995CI-0.260.07). Secondly, single hole laparoscopy significantly increased the operation time and shortened the time of getting out of bed after operation, CI-3.13 ~ (95) and CI-3.13 ~ (-0.39), respectively, and shortened the time of getting out of bed after operation (CI 5.83 ~ 24.28). In terms of safety, there was no significant difference in complications such as incision infection, postoperative fever and hematoma between the two groups. Conclusion based on the current evidence, single hole laparoscopy can not reduce the blood loss, hospital stay, gastrointestinal ventilation time and the risk of complications in gynecological surgery, but can advance the time of getting out of bed. Get good beauty effect.
【作者单位】：甘肃省妇幼保健院妇科;
【分类号】：R713

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