Meta分析在腹腔镜手术治疗输卵管妊娠临床效果评价中的应用  

META -ANALYSIS OF THE EFFECTIVENESS OF LAPAROSCOPY AND LAPAROTOMY IN TREATMENT OF TUBAL PREGNANCY

作　　者：于静[1] 潘晓平[2] 赵钰[1] 

机构地区：[1]四川大学华西公共卫生学院卫生统计教研室,成都610041 [2]中国疾病预防控制中心妇幼保健中心

出　　处：《现代预防医学》2009年第7期1217-1219,共3页Modern Preventive Medicine

摘　　要：[目的]比较国内腹腔镜手术与剖腹手术治疗输卵管妊娠的临床效果。[方法]采用ReviewManager4.2分析软件,对国内13篇有关腹腔镜手术与剖腹手术治疗输卵管妊娠的研究结果进行随机效应模型的Meta分析。[结果]腹腔镜手术治疗输卵管妊娠的手术时间及术中出血均明显少于剖腹手术组[合并统计量分别为WMD=-10.18,95%CI(-18.13,-2.23);WMD=-45.81,95%CI(-55.40,-36.23)],静脉用抗生素时间、肛门排气时间及住院时间均明显短于剖腹手术组[合并统计量分别为WMD=-1.51,95%CI(-1.84,-1.08);WMD=-19.96,95%CI(-23.57,-16.35);WMD=-2.79,95%CI(-3.18,-2.40)],治疗输卵管妊娠后的输卵管复通率高于剖腹手术组[合并RR值为1.37,95%CI(1.02,1.84)]。[结论]腹腔镜手术治疗输卵管妊娠的临床效果优于开腹手术,可作为临床首选的手术方法。[Objective] To compare the chnical effect of laparoscopy and laparotomy in treatment of tubal pregnancy. [Methods] The results of 13 studies about clinical effect of laparoscopy and laparotomy in treatment of tubal pregnancy in China were analyzed by Review Manager 4.2 and random effect model of recta-analysis method was used. [ Results] The time of surgery and bleeding in operation in laparoseopy group were fewer than in laparotomy group [WMD=-10.18, 95%CI （-18：13, -2.23）; WMD=-45.81, 95%CI （-55.40, -36.23） ]. The antibiotic time, functional recover time of bowel and length of stay in hospital in laparoscopy group were Shorter than in laparotomy group [WMD=-1.51, 95%CI （-1.84, -1.08）; WMD=- 19.96, 95%CI （-23.57, -16.35）; WMD=-2.79, 95%CI （-3.18, -2.40）]. And the successful rate of salpingostomy in la, paroscopy group was higher than laparotomy group [combined RR=1.37, 95%CI （1.02, 1.84）]. [Conclusion] The Clinical effect of laparoseopy to treat tubal pregnancy is superior to laparotomy. Laparoscopy could be made as the first selection in treatment of tubal pregnancy.

关 键 词：腹腔镜手术 剖腹手术 输卵管妊娠 META分析 

分 类 号：R713.8[医药卫生—妇产科学]