腹腔镜手术治疗巨大卵巢囊肿可行性的Meta分析

发布时间：2018-05-26 07:40

本文选题：巨大卵巢囊肿 + 腹腔镜手术　；参考：《新疆医科大学》2014年硕士论文

【摘要】：目的：探讨腹腔镜下行巨大卵巢囊肿手术的可行性。方法：计算机检索Cochrane中心临床研究数据库、Cochrane图书馆、OV1D、EMBASE、医学索引在线(Medline)、相关期刊论文(CNKI)、万方数字化期刊全文数据库、中国生物医学文献数据库(CBM)。筛选并纳入关于腹腔镜和传统开腹手术治疗巨大卵巢囊肿的可行性比较的随机对照试验(Randomized controlled trial, RCT)或病例对照试验(clinical controlled trial, CCT)。检索时间至2013年12月截止。对符合纳入标准的研究依据Cochrane系统评价方法提取资料并进行质量评价。使用Cochrane图书馆提供的RevMan5.2软件进行Meta分析。结果：纳入6项病例对照研究,共包括396例患者,其中腹腔镜和开腹组各193例。纳入文献中患者的基线特征无统计学差异。对研究指标数据进行meta分析,结果示：1.腹腔镜组与开腹组的手术时间、术中出血量无统计学差异；2.腹腔镜组的术后并发症发生率、住院时间、术后通气时间与开腹组相比差异有统计学意义,腹腔镜组手术并发症少于开腹组,住院时间及术后通气时间短于开腹组。结论：在术前全面评估,严格把握手术适应症且术者技术操作娴熟的条件下行腹腔镜下巨大卵巢囊肿手术是可行的。
[Abstract]:Objective: to investigate the feasibility of laparoscopic surgery for giant ovarian cyst. Methods: the clinical research database of Cochrane Center, the Cochrane Library, the Medical Index online, the Chinese Journal full text Database, the Wanfang Digital Journal Full-text Database and the Chinese Biomedical Literature Database were searched by computer. A randomized controlled trial (Randomized controlled trial, RCT) or a case control trial (CSCT) on the feasibility of laparoscopic and traditional open surgery in the treatment of giant ovarian cysts were selected and included. The search time ends in December 2013. According to the Cochrane system evaluation method, the data were extracted and evaluated according to the inclusion criteria. Meta analysis is carried out with RevMan5.2 software provided by Cochrane library. Results: a total of 396 patients were included in 6 case-control studies, including 193 cases in the laparoscopy group and 193 cases in the open group. The baseline features of patients included in the literature were not statistically different. The meta analysis of the research index data shows that the result is 1: 1. There was no significant difference in operative time and blood loss between laparoscopy group and laparotomy group. The incidence of postoperative complications, hospitalization time and postoperative ventilation time in laparoscopic group were significantly different from those in open group. The complications in laparoscopic group were less than those in open group, and the hospitalization time and postoperative ventilation time were shorter in laparoscopy group than in open group. Conclusion: it is feasible to perform laparoscopic surgery on giant ovarian cyst under the condition of strict indication and skillful operation in preoperative comprehensive evaluation.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R713.6

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