机器人辅助腹腔镜肾盂成形术与腹腔镜术式疗效和安全性的Meta分析

发布时间：2018-11-20 19:05

【摘要】：目的比较机器人辅助腹腔镜肾盂成形术(Robot-assisted and laparoscopic pyeloplasty,RALP)与腹腔镜肾盂成形术(Laparoscopic pyeloplasty LP)两种手术方式治疗肾盂输尿管连接部梗阻的疗效及安全性。方法检索2002年1月—2014年12月国内外公开发表的有关于RALP与LP比较的相关研究性文献。由2名评价者对所纳入的相关文献的研究质量进行共同评价。使用Rev-Man 5.3软件进行数据处理。结果本篇Meta分析共纳入了10篇文献,共纳入497例患者,其中RALP组259例,LP组238例。Meta分析结果提示,在缝合时间(WMD=-13.06,95%CI㧟22.54~-3.58,P=0.007)、住院时间(WMD=-1.40,95%CI-2.04~-0.76,P0.0001)和术后并发症率(OR=0.53,95%CI 0.29~0.98,P=0.04)方面,RALP优于LP,差异有统计学意义(P0.05)。在手术时间、术中失血量、和手术成功率方面,RALP与LP之间差异无统计学意义(P0.05)。结论与LP相比,RALP在缝合时间、住院时间、术后并发症率方面更具优势。
[Abstract]:Objective to compare the efficacy and safety of robot-assisted laparoscopic pyeloplasty (Robot-assisted and laparoscopic pyeloplasty,RALP) and laparoscopic pyeloplasty (Laparoscopic pyeloplasty LP) in the treatment of ureteropelvic junction obstruction. Methods from January 2002 to December 2014, relevant research literatures on the comparison of RALP and LP were searched at home and abroad. The research quality of the related literature was evaluated by two reviewers. Use Rev-Man 5.3 software for data processing. Results 10 articles were included in this Meta analysis, including 259 cases in RALP group and 238 cases in LP group. The results of Meta analysis suggested that the suture time (WMD=-13.06,95%CI?22.54~-3.58,P=0.007), In terms of hospitalization time (WMD=-1.40,95%CI-2.04~-0.76,P0.0001) and postoperative complication rate (OR=0.53,95%CI 0.29 0. 98% P0.04), RALP was better than LP, (P0.05). There was no significant difference between RALP and LP in operative time, blood loss and success rate (P0.05). Conclusion compared with LP, RALP has more advantages in suture time, hospital stay and postoperative complication rate.
【作者单位】：山西医科大学;山西医学科学院山西大医院泌尿外科;
【分类号】：R699

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