摘要
目的系统评价非复杂输尿管镜下输尿管结石碎石术后不安置D-J管的可行性与有效性。方法检索CochraneLibrary、PubMed、EMbase、维普、万方及CNKI等在线数据库,搜索相关的所有随机对照试验,由两位评价员独立进行评价和资料提取,统计学分析采用RevMan 5.0软件处理。结果共纳入12个随机对照试验(共1 071例),分为试验组(不安置D-J管)和对照组(安置D-J管),Meta分析结果显示,与对照组比较,试验组的手术时间短(P=0.000 2),术后尿频/尿急的发生风险减少了41%(P<0.000 01),肉眼血尿的发生风险(P=0.007)减少了51%,排尿困难的发生风险(P=0.008)减少了48%;两组平均住院时间(P=0.16)、结石排出率和术后输尿管狭窄差异均无统计学意义。结论不安置D-J管在观察对比手术时间、术后早期并发症方面明显优于安置D-J管,而在住院时间、结石排出率及术后输尿管狭窄方面二者无显著差异。
Objective To systematically review the feasibility and the validity of non-D-J tube placement following ureteroscopic lithotripsy for ureteral calculi.Methods All randomized clinical trials of non-D-J tube placement after ureteroscopic lithotripsy were identified with Cochrane Library、PubMed、EMbase、VIP、WangFang and CNKI.The quality of the included randomized trials and extracted data was assessed by two reviewers independently.Meta analysis was performed with RevMan 5.0 soft ware.Results Twelve randomized trials(including 1 071 patients) were collected and divided into test group(non-D-J tube placement) and control group(D-J tube placement).The meta-analysis showed that the operation time was shortened in test group(P=0.000 2),the risk of postoperative frequent /urgent micturition was decreased by 41%,(P〈0.000 01),hematuria by 51%(P=0.007) and dysuria by 48%(P=0.008) compared with those in control group.There was no statistical difference in mean hospital duration,stone discharge rate and postoperative ureterostenosis between test and control group(P=0.16).Conclusion Non-D-J tube placement after ureteroscopic lithotripsy is better than D-J tube placement in operation duration and postoperative complication,howerver,it has no influence on mean hospital time,stone discharge rate and postoperative ureterostenosis.
出处
《局解手术学杂志》
2012年第2期144-148,共5页
Journal of Regional Anatomy and Operative Surgery
基金
陕西省西安市科技局妇科肿瘤研究项目[hm1118(6)]