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单切口Mini-Arc吊带术与TVT-O治疗女性压力性尿失禁疗效比较的Meta分析 被引量:1

Single-incision Mini-Arc versus TVT-O for female stress urinary incontinence:a meta-analysis of effectiveness and complications
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摘要 目的:系统评价单切口Mini-Arc吊带术与经闭孔无张力尿道中段悬吊术(TVT-O)治疗女性压力性尿失禁(SUI)的术后临床疗效。方法:通过万方数据库、维普、Pubmed、Medline等数据库进行文献检索,将比较单切口Mini-Arc吊带术与TVT-O的随机对照研究纳入本研究,检索时间段为1996年1月-2014年9月,从符合要求的文献中收集数据资料,应用RevMan 5.2软件进行Meta分析。结果:纳入本研究的6个随机对照研究共计580例患者,Meta分析发现,单切口Mini-Arc吊带术在术后腹股沟区疼痛情况方面优于TVT-O(P〈0.05),而在术后12个月客观治愈率、手术时间、主观治愈率、术后疼痛程度、术后排尿困难率、术后病情恶化率、二次手术发生率等方面差异无统计学意义(P〉0.05)。结论:单切口Mini-Arc吊带术较TVT-O治疗女性SUI在术后腹股沟区疼痛情况方面的疗效较好,但在更多远期疗效方面的最终判断有待于更多的循证证据。 Objective: To assess single-incision Mini-Arc versus tension-free vaginal tape-obturator (TVT-O) for female stress urinary incontinence (SUI). Method: The databases such as WanFang Data, VIP, Pubmed and Medline were searched to collect the randomized control trials (RCTs) about the clinical effectiveness of single-incision Mini-Arc versus TVT-O for female SUI. The retrieval time was from January 1996 to September 2014. A meta-analysis of acquired data was performed through RevMan 5.2 software. Result: A total of six RCTs involving 580 patients were included. The meta-analysis showed that there were no statistical differences in degrees of postoperative pain, patient-reported cure rate, operative time, postoperative voiding difficulties, de novo urgency and repeat continence surgery between two groups. For postoperative groin pain single-incision Mini-Arc slings was superior to TVT-O. Conclusion: For patients undergoing single-incision Mini-Arc slings less groin pain is observed than in group TVT-O (P〈0.05). For quantity limitation arid low methodological quality of included stud- ies, this conclusion still needs to be further proved by performing more high-quality studies.
出处 《临床泌尿外科杂志》 2015年第4期316-321,共6页 Journal of Clinical Urology
关键词 单切口 MINI-ARC吊带 经闭孔无张力尿道中段悬吊术 压力性尿失禁 疗效 META分析 single-incision Mini-Arc slings tension-free vaginal tape-obturator stress urinary incontinence effectiveness meta-analysis
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