单孔胸腔镜与传统胸腔镜比较治疗自发性气胸效果的Meta分析

发布时间：2018-10-08 20:13

【摘要】：目的系统评价单孔胸腔镜手术(single—port video—assisted thoracoscopic surgery,SPVATS)和传统胸腔镜手术(video—assisted thoracoscopic surgery,VATS)治疗自发性气胸的疗效。方法计算机检索PubMed、EMbase、CNKI、万方数据库和维普数据库,收集关于单孔胸腔镜手术与传统胸腔镜手术治疗自发性气胸的随机对照试验(RCT),回顾性研究,并评价纳入研究的方法学质量,统计软件采用STATA 12.0软件进行Meta分析。结果最终纳入1个随机对照试验(RCT),8个回顾性研究,共650例患者。Meta分析结果显示:与传统胸腔镜手术相比,单孔胸腔镜手术减少了术中出血量,缩短了术后胸管留置时间,缩短了住院时间,但在术后复发率,手术时间,术后胸腔引流量方面,二者差异无统计学意义。结论现有的临床资料显示:相比于传统胸腔镜手术,单孔胸腔镜手术是治疗自发性气胸更好的选择。但因研究质量和研究样本的局限性,上述结论仍有待设计严谨的大样本随机对照试验再加以验证。
[Abstract]:Objective to evaluate the efficacy of single-hole thoracoscopic surgery (single-port video-assisted thoracoscopic surgery,SPVATS) and traditional thoracoscopic surgery (video-assisted thoracoscopic surgery,VATS) in the treatment of spontaneous pneumothorax. Methods PubMed,EMbase,CNKI, Wanfang database and Wiper database were searched by computer. The randomized controlled trial (RCT),) of single hole thoracoscopic surgery and traditional thoracoscopic surgery for spontaneous pneumothorax was collected, and the quality of methodology was evaluated. The statistical software STATA 12.0 was used for Meta analysis. Results A total of 650 patients with (RCT), were included in a randomized controlled trial. Meta-analysis showed that compared with traditional thoracoscopic surgery, single-hole thoracoscopic surgery reduced the amount of intraoperative bleeding and shortened the time of thoracic tube indwelling after operation. The hospitalization time was shortened, but there was no significant difference in recurrence rate, operative time and postoperative thoracic drainage. Conclusion compared with traditional thoracoscopic surgery, single-hole thoracoscopic surgery is a better choice in the treatment of spontaneous pneumothorax. However, due to the limitations of research quality and research samples, these conclusions still need to be verified by well-designed large sample randomized controlled trials.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R655

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