标准通道和微通道PCNL在不同肾盂压力下治疗感染性肾结石效果的Meta分析

发布时间：2018-06-29 09:12

本文选题：标准通道 + 微通道　；参考：《东南大学学报(医学版)》2017年05期

【摘要】：目的:对比分析标准通道(F24~F34)和微通道(F16~F18)经皮肾镜(PCNL)治疗感染性肾结石的效果。方法:在Pub Med、Embase、CNKI、万方等医学数据库,检索PCNL治疗肾结石的临床随机对照试验(RCT),由两位工作者独立提取文献数据,利用Stata 14.0软件对纳入文献进行Meta分析,探索标准通道和微通道的治疗效果。结果:本研究共纳入11篇随机对照试验文献,包括2 152例肾结石病人,Meta分析结果显示低肾盂压力下微通道PCNL(MPCNL)并发症RR=0.63(95%CI:0.63~1.06),术中出血量RR=-0.94(95%CI:-1.29~-0.59);PCNL并发症RR=0.39(95%CI:0.21~0.71),术中出血量RR=-1.48(95%CI:-1.87~-1.08)。结论:低肾盂压力下可以减少术后并发症及术中出血量;但MPCNL的治疗效果(结石清除率及术后并发症发生率)与PCNL比较没有明显的优势。
[Abstract]:Objective: to compare the efficacy of standard channel (F 24 F 34) and microchannel (F 16 F 18) in the treatment of infectious renal calculi by percutaneous nephroscopy (PCNL). Methods: the clinical randomized controlled trial (RCT) of PCNL for the treatment of renal calculi was searched in the medical database of Pub Meden Embase CNKI and Wanfang. The literature data were extracted independently by two workers, and Meta-analysis was carried out by Stata 14.0 software. To explore the therapeutic effect of standard channel and microchannel. Results: a total of 11 randomized controlled trial papers were included in this study, including 2 152 patients with renal calculi. The results of Meta-analysis showed that the complications of microchannel PCNL (MPCNL) under low pelvic pressure were 0.63 (95CI: 0.631.06), the volume of intraoperative bleeding was RRn-0.94 (95: CI-1.29-0.59) PCNL complications (95CI: 0.210.21 0.71), and the volume of intraoperative bleeding was RR-1.48 (95CIC-1.87- 1.08). Conclusion: low pressure of renal pelvis can reduce postoperative complications and intraoperative blood loss, but MPCNL has no obvious advantage over PCNL in the treatment effect (stone clearance rate and postoperative complication rate).
【作者单位】：武汉市第一医院泌尿外科;
【基金】：武汉市卫计委支持项目(WX11D01)
【分类号】：R699.2

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