腹腔镜去顶减压与彩超引导下穿刺硬化治疗肾囊肿疗效的meta分析
Journal of Clinical Urology(2017)
Abstract
目的:应用meta分析方法比较腹腔镜去顶减压和彩超引导下穿刺硬化治疗肾囊肿的效果.方法:应用Pubmed、Embase、Cochrane Library、中国知网和万方数据库提取数据,共搜集文献9篇,纳入研究对象共计1 812例,其中去顶减压554例,穿刺硬化1 258例.统计对象有手术时间、治愈率、术后住院时间、并发症发生率、费用等.结果:meta分析结果显示,穿刺硬化在手术时间(MD:-51.55;95%CI:-58.76,-44.34;P<0.01)、术后住院时间(MD:-146.80;95%CI:-154.13,-139.47;P<0.01)、费用(MD:-1186.15;95%CI:-1545.59,-826.71;P<0.01)方面明显低于腹腔镜去顶减压;而在治愈率(RR:0.95;95%CI:0.91,0.98;P=0.001)方面腹腔镜去顶减压更优.结论:穿刺硬化术在手术时间、住院时问、费用方面占优势,但治愈率方面腹腔镜去顶减压更具优势.
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Key words
de-roofing,puncture sclerotherapy,kidney cysts,meta
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