输尿管镜碎石术后肾包膜下或肾周血肿危险因素的meta分析  

Meta-analysis of risk factors for subcapsular or perirenal hematoma after ureteroscopic lithotripsy

作　　者：王军卫 张爱伟 汤思远 WANG Junwei;ZHANG Aiwei;TANG Siyuan(Department of Urology,Affiliated Wenling Hospital of Wenzhou Medical University,Wenling,Zhejiang,317500,China)

机构地区：[1]温州医科大学附属温岭医院泌尿外科,浙江温岭317500

出　　处：《临床泌尿外科杂志》2022年第1期52-56,共5页Journal of Clinical Urology

基　　金：温岭市社会发展科技项目(No:2021S00218)。

摘　　要：目的:分析输尿管镜术后肾包膜下或肾周血肿的危险因素。方法:通过计算机检索万方、知网、维普、中国生物医学文献数据库、Pubmed、EMbase和Web of Science等数据库。检索从建库至2020年12月所有公开发表的关于输尿管镜术后继发肾包膜下或肾周血肿危险因素的研究文献,采用Revman 5.3软件进行统计分析。结果:根据统一的纳入和剔除标准,共纳入7篇文献,均为病例对照研究。血肿组103例,无血肿组7253例,筛选出6个危险因素,分别为合并尿路感染(OR=2.04,95%CI:1.75~2.38,P<0.05)、合并肾积水(OR=5.72,95%CI:5.19~6.31,P<0.05)、手术时间长(MD=9.35,95%CI:6.15~12.55,P<0.05)、结石大小(MD=3.22,95%CI:2.17~4.27,P<0.05)、感染性结石(OR=3.21,95%CI:1.52~6.77,P<0.05)、女性患者(OR=3.14,95%CI:1.78~5.53,P<0.05)。结论:合并尿路感染、合并肾积水、手术时间长、较大结石、感染性结石及女性患者均为输尿管镜术后继发肾包膜下或肾周血肿的危险因素。Objective:To analyze the risk factors of subcapsular or perirenal hematoma after ureteroscopy.Methods:Wanfang,CNKI,VIP,CBM,Pubmed,Embase,Web of Science and other databases were searched by computer.All published literature on risk factors of subcapsular or perirenal hematoma secondary to ureteroscopy from the establishment of the database to December 2020was searched,and statistical analysis was performed using Revman 5.3software.Results:According to the uniform inclusion and exclusion criteria,a total of 7pieces of literature were included,all of which were case-control studies.There were 103cases in the hematoma group and 7253cases in the non-hematoma group.Six risk factors were screened out including urinary tract infection(OR=2.04,95%CI:1.75-2.38,P<0.05),hydronephrosis(OR=5.72,95%CI:5.19-6.31,P<0.05),long operation time(MD=9.35,95%CI:6.15-12.55,P<0.05),stone size(MD=3.22,95%CI:2.17-4.27,P<0.05),infectious calculi(OR=3.21,95%CI:1.52-6.77,P<0.05)and female patients(OR=3.14,95%CI:1.78-5.53,P<0.05).Conclusion:Complications of urinary tract infection,hydronephrosis,long operation time,large calculi,infectious calculi and female patients were all risk factors for secondary subcapsular or perirenal hematoma after ureteroscopy.

关 键 词：输尿管镜 肾包膜下血肿 肾周血肿 危险因素 META分析 

分 类 号：R693[医药卫生—泌尿科学]