老年人腹股沟疝腹腔镜与开腹手术的疗效及安全性评价:Meta分析  

Effectiveness and safety of laparoscopy vs. laparotomy for inguinal hernia in senile patients:a meta-analysis

作　　者：郭涛[1] 刘朋朋[1] 刘权焰[1] 

机构地区：[1]武汉大学中南医院肝胆胰一科,武汉430071

出　　处：《腹部外科》2017年第1期48-51,64,共5页Journal of Abdominal Surgery

摘　　要：目的分析腹腔镜与开腹手术对于治疗老年人腹股沟疝的疗效与安全性。方法检索万方、中国知网、PubMed、EMBASE、Cochrane Library等电子数据库,并人工检索相关电子期刊,针对筛选出的临床随机对照试验,运用Meta分析的方法综合比较相关指标并做综合评价。结果最终纳入8篇文献,共计818例老年病人。腹腔镜组与开腹组相比,在手术时间上差异无统计学意义(SMD=0.00,95%CI:-1.41~1.41,P=0.99);但住院时间更短(SMD=-1.64,95%CI:-2.06^-1.22,P<0.01);并发症数量也较少(RR=0.31,95%CI:0.19~0.50,P<0.01);治疗有效率更高(OR=3.17,95%CI:1.06~9.49,P=0.04)。结论腹腔镜治疗老年人腹股沟疝具有明显优势,应成为主要术式。Objective To evaluate the effectiveness and safety of laparoscopy vs. laparotomy for inguinal hernia in senile patients. Methods Wanfang database, CNKI, PubMed, EMBASE and Co- chrane Library were searched electronically with searching manually in related electronic journals to re- trieve the randomized controlled trials. Comprehensive comparisons of operation time, hospital stay, complications and treatment efficiency were conducted through meta-analysis. Results Finally,8 liter- atures were screened out including 818 senile patients. There was no statistically significant difference between laparotomy group and laparoscopic group in operation time （SAID = 0. 00,95%CI： - 1.41 - 1.41, P = 0. 99）, but hospital stay was shorter （SMD = - 1.64,95 % CI： - 2. 06- - 1.22, P〈0. 01）, complications were less （RR = 0. 3 l, 95% CI：0. 19- 0. 50, P〈0. 01）, and the effective rate of treat- ment was higher （OR = 3.17,95% CI：C 06-9. 49, P = 0. 04） in laparoseopic group than in laparotomy group. Conclusions Obvious superiorities of laparoscopic treatment for inguinal hernia in senile pa- tients were shown. Laparoscopy should become the main operation method.

关 键 词：腹腔镜 开腹手术 腹股沟疝 老年病人 META分析 

分 类 号：R656.2[医药卫生—外科学]