腹腔镜去顶减压与彩超引导下穿刺硬化治疗肾囊肿疗效的meta分析  

Laparoscopic de-roofing versusultrasound guided puncture sclerotherapy for treatment of kidney cysts:a meta-analysis and systematic review

作　　者：刘健男[1] 刘亚东[1] 田河[1] 冯越[1] 徐敏玲[1] 安瑞华[1] LIU Jiannan LIU Yadong TIAN He FENG Yue XU Minling AN Ruihua(Department of Urology, First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China)

机构地区：[1]哈尔滨医科大学附属第一医院泌尿外科,哈尔滨150001

出　　处：《临床泌尿外科杂志》2017年第2期112-117,共6页Journal of Clinical Urology

摘　　要：目的:应用meta分析方法比较腹腔镜去顶减压和彩超引导下穿刺硬化治疗肾囊肿的效果。方法:应用Pubmed、Embase、Cochrane Library、中国知网和万方数据库提取数据,共搜集文献9篇,纳入研究对象共计1 812例,其中去顶减压554例,穿刺硬化1 258例。统计对象有手术时间、治愈率、术后住院时间、并发症发生率、费用等。结果:meta分析结果显示,穿刺硬化在手术时间(MD:-51.55;95%CI:-58.76,-44.34;P<0.01)、术后住院时间(MD:-146.80;95%CI:-154.13,-139.47;P<0.01)、费用(MD:-1186.15;95%CI:-1545.59,-826.71;P<0.01)方面明显低于腹腔镜去顶减压;而在治愈率(RR:0.95;95%CI:0.91,0.98;P=0.001)方面腹腔镜去顶减压更优。结论:穿刺硬化术在手术时间、住院时间、费用方面占优势,但治愈率方面腹腔镜去顶减压更具优势。Objective：To compare the effectiveness between laparoscopic de-roofing and ultrasound guided puncture sclerotherapy for treatment of kidney cysts.Method：The data were acquired from PubMed,Embase,Cochrane Library,CNKI and Wanfang.Nine references were collected in the meta and 1812 people were incorporated.Operation time and postoperative hospital stay,costs,recovery rate,postoperative complications were detected in the meta.There were 554 patients who underwent laparoscopic de-roofing procedure,and 1258 patients who underwent ultrasound guided puncture sclerotherapy.Result：The meta revealed that the parameters of ultrasound guided puncture sclerotherapy in operation time（MD：-51.55;95%CI：-58.76,-44.34;P〈0.01）,the postoperative hospital stay（MD：-146.80;95%CI：-154.13,-139.47;P〈0.01）,the costs（MD：-1186.15;95%CI：-1545.59,-826.71;P〈0.01）were lower than those of the laparoscopic deroofing,also the recovery rate（RR：0.95;95%CI：0.91,0.98;P=0.001）was lower than that of the laparoscopic de-roofing.Conclusion：The meta analysis reveals that ultrasound guided puncture sclerotherapy is superior to laparoscopic de-roofing in operation time,hospital stay and cost,but the recovery rate of laparoscopic deroofing is higher.

关 键 词：去顶减压 穿刺硬化 肾囊肿 META 

分 类 号：R692[医药卫生—泌尿科学]