单通道与多通道经皮肾镜取石术治疗复杂性肾结石的有效性和安全性Meta分析

发布时间：2018-05-15 10:12

  本文选题：经皮肾镜取石术 + 单通道　； 参考：《山西医科大学》2017年硕士论文

【摘要】：目的:系统评价单通道与多通道经皮肾镜取石术治疗复杂性肾结石的安全性及疗效。方法:计算机检索Pub Med、维普、万方和中国知网,全面收集有关单通道经皮肾镜取石术与多通道经皮肾镜取石术治疗复杂性肾结石的随机对照及非随机对照试验,检索时限自1990年1月至2016年9月。由2名评价者依照纳入及排除标准选取试验、找出数据材料和分析质量,Meta分析工具使用RevMan 5.3进行。结果:共选入13篇文献,涉及2053名患者。结果为:与单通道组相比,多通道组清石率较高[OR=0.33,95%CI(0.22~0.52),P0.00001],术中出血量较少[MD=10.53,95%CI(1.96~19.09),P=0.02],术后血红蛋白下降量较大[MD=10.30;95%CI(5.38,15.24)P=0.0006],输血人数较多[OR=0.51,95%CI(0.35~0.75),P=0.0007],术后并发症发生率较高[OR=0.51,95%CI(0.36~0.72),P=0.0001],而在手术时间、住院时间、术后感染人数、术后血清肌酐变化方面分析比较差异均无统计学意义(P0.05)。结论:多通道经皮肾镜取石术的优势主要体现在清石率较高、术中出血量较少等方面;劣势主要为术后血红蛋白下降较大、输血人数较多、并发症发生率较高等方面。
[Abstract]:Objective: to evaluate the safety and efficacy of single channel and multi-channel percutaneous nephrolithotomy in the treatment of complex renal calculi. Methods: a computerized search of Pub Med, Weip, Wanfang and China Zhiwang was conducted to collect the randomized controlled and non-randomized controlled trials of single channel percutaneous nephrolithotomy and multichannel percutaneous nephrolithotomy for the treatment of complex renal calculi. The time limit for retrieval is from January 1990 to September 2016. According to the inclusion and exclusion criteria, two evaluators selected the data materials and analyzed the quality of meta-analysis using RevMan 5.3. Results: a total of 13 articles involving 2053 patients were selected. 缁撴灉涓，

本文编号：1892040