两种闭孔路径尿道中段悬吊术治疗女性压力性尿失禁的Meta分析

Inside-out versus transobturator-tape in the surgical management of female stress urinary incontinence： a meta-analysis of effectiveness and complications

采用RevMan5．0软件，埘1996年11月至2012年5月国内外正式刊载的8篇闭孔路径尿道中段悬吊术治疗女性压力性尿失禁的随机对照研究进行Meta分析，结果显示，“由外向内”闭孑L路径吊带手术（TOT）对“南内向外”经闭孔吊带手术（TVT—O）的客观治愈率（RR：1．01，95％CI：0．96—1．06）、客观失败率（RR=0．99，95％CI：0．46～2．11）、术后排空障碍（RR=0．94，95％CI：0．56～1．57）、大腿内侧疼痛（RR=0．80，95％CI：0．53—1．20）及吊带暴露（RR=2．80，95％CI：0．97～8．14）发生率差异均无统计学意义（P〉0．05）。提示两种手术治疗压力性尿失禁短期疗效和安全性相当。

To assess the effectiveness and safety of ＂inside-out＂ （TVT-O） vs. ＂outside-in＂ transobturator-tape procedures （TOT） in the surgical management of female stress urinary incontinence （SUI）. A total of 8 randomized controlled trials were retrieved from the literature and analyzed by meta- analysis with RevMan 5.0 software. Meta-analysis showed that no statistical differences existed in objective cure rate, objective tailure, postoperative voiding dysfunction, groin/thigh pain and sling exposure in both procedures （ P 〉 0. 05 ）. These preliminary results suggest there is no evidence of significant differences in the efficacy and safety between TVT-O and TOT.