[1]张弛,莫承强,蒋双键,等.改良仰卧位与俯卧位经皮肾镜疗效的Meta分析[J].中华腔镜泌尿外科杂志(电子版),2016,10(05):327-335.[doi:10.3877/cma.j.issn.1674-3253.2016.05.009 ]
 Zhang Chi,Mo Chengqiang,Jiang Shuangjian,et al.A meta-analysis of the efficacy in modified supine and prone percutaneous nephrolithotomy[J].,2016,10(05):327-335.[doi:10.3877/cma.j.issn.1674-3253.2016.05.009 ]
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改良仰卧位与俯卧位经皮肾镜疗效的Meta分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年05期
页码:
327-335
栏目:
临床研究
出版日期:
2016-11-05

文章信息/Info

Title:
A meta-analysis of the efficacy in modified supine and prone percutaneous nephrolithotomy
作者:
张弛莫承强蒋双键邱泽挺苏冠宇毛晓鹏吴荣佩
510080广州,中山大学附属第一医院泌尿外科
Author(s):
Zhang ChiMo Chengqiang Jiang Shuangjian Qiu Zeting Su Guanyu Mao Xiaopeng Wu Rongpei.
Department of Urology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
关键词:
仰卧位俯卧位肾造口术经皮 Meta分析
DOI:
10.3877/cma.j.issn.1674-3253.2016.05.009
摘要:
目的系统评价改良仰卧位下行经皮肾镜碎石取石术( PCNL)的安全性和有效性。方法 检索 PubMed,WebofScience,中国生物医学文献服务系统,中国期刊全文数据库及万方电子期刊全文数据库,按照纳入和排除标准筛选关于改良仰卧位与俯卧位 PCNL的临床对照研究,提取纳入研究中关于手术时间、住院时间、结石清除率及围手术期并发症发生率的数据并进行 Meta分析。结果最终纳入 18项研究,共 2696个病例, Meta分析显示改良仰卧位组的手术时间较俯卧位组缩短(WMD=-19.24,95%CI:-29.09~-9.39,P<0.01),两组在住院时间( WMD=-0.81,95%CI:-0.85~0.41,P=0.59)、结石清除率( OR=0.95,95%CI:0.76~1.19,P=0.65)和围手术期并发症发生率( OR=0.77, 95%CI:0.59~1.01,P=0.06)方面差异无统计学意义。结论改良仰卧位行 PCNL安全有效,可缩短手术时间,值得推广应用。

参考文献/References:

[1] Zeng G, Zhao Z, Wan S, et al. Minimally invasive percutaneous nephrolithotomy for simple and complex renal caliceal stones: a comparative analysis of more than 10,000 cases [J]. J Endourol,2013, 27(10): 1203-1208.
[2] Wang Y, Hou Y, Jiang F, et al. Standard-tract combined with mini-tract in percutaneous nephrolithotomy for renal staghorn calculi[J]. Urol Int, 2014, 92(4): 422-426.
[3] Cracco CM, Scoffone CM, Scarpa RM. New developments in percutaneous techniques for simple and complex branched renal stones[J]. Curr Opin Urol, 2011, 21(2): 154-160.
[4] Youssef A, Esmat M, Wael M. When prone position is contraindicated or not preferable, can supine percutaneous nephrolithotomy solve the problem?[J]. Int Braz J Urol, 2012, 38(1): 57-62.
[5] 姚世杰, 徐子强, 马洪顺. 经皮肾镜取石术中仰卧位和俯卧位的优缺点[J]. 中华泌尿外科杂志, 2014, 35(7): 551-553.
[6] Ng MT, Sun WH, Cheng CW, et al. Supine position is safe and effective for percutaneous nephrolithotomy [J]. J Endourol, 2004,18(5): 469-474.
[7] 潘铁军, 张加桥, 李功成, 等. 腰肋悬空仰卧位下经皮肾镜取石术的临床研究[J]. 中华泌尿外科杂志, 2011, 32(1): 11-13.
[8] Zhang X, Xia L, Xu T, et al. Is the supine position superior to the prone position for percutaneous nephrolithotomy (PCNL)? [J].Urolithiasis, 2014, 42(1): 87-93.
[9] Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? [J].Control Clin Trials, 1996, 17(1): 1-12.
[10] Hartling L, Ospina M, Liang YY, et al. Risk of bias versus quality assessment of randomised controlled trials: cross sectional study [J]. Br Med J, 2009, 339: b4012.
[11] Slim K, Nini E, Forestier D, et al. Methodological index for non-randomized studies (minors): development and validation of a new instrument[J]. ANZ J Surg, 2003, 73(9): 712-716.
[12] Wells GA, Shea B, O' Connell D, et al. The Newcastle-Ottawa Scale ( NOS ) for assessing the quality if nonrandomized studies in meta-analyses[J]. PLoS Negl Trop Dis, 2013, 7(5): e2195.
[13] Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample[J]. BMC Med Res Methodol, 2005, 5: 13.
[14] Wang Y, Wang Y, Yao Y, et al. Prone versus modified supine position in percutaneous nephrolithotomy: a prospective randomized study[J]. Int J Med Sci, 2013, 10(11): 1518-1523.
[15] Al-Dessoukey AA, Moussa AS, Abdelbary AM, et al. Percutaneous nephrolithotomy in the oblique supine lithotomy position and prone position: a comparative study [J]. J Endourol, 2014, 28(9): 1058-1063.
[16] De Sio M, Autorino R, Quarto G, et al. Modified supine versus prone position in percutaneous nephrolithotomy for renal stones treatable with a single percutaneous access: a prospective randomized trial[J]. Eur Urol, 2008, 54(1): 196-202.
[17] Abdel-Mohsen E, Kamel M, Zayed AL, et al. Free-flank modified supine vs. prone position in percutaneous nephrolithotomy: A prospective randomised trial[J]. Arab J Urol, 2013, 11(1): 74-78.
[18] Zhan HL, Li ZC, Zhou XF, et al. Supine lithotomy versus prone position in minimally invasive percutaneous nephrolithotomy for upper urinary tract calculi[J]. Urol Int, 2013, 91(3): 320-325.
[19] 谭晟, 詹飞呜, 袁松坡. 俯、斜卧位微创经皮肾穿刺取石术比较[J]. 岭南现代临床外科, 2007, 7(4): 302-303.
[20] 杨夕柏. 俯卧位、仰卧位及侧卧位在经皮肾镜碎石取石术中的应用研究[J]. 中国内镜杂志, 2013, 19(10): 1098-1100.
[21] 舒铁环, 李力, 向桂桥, 等. 两种体位对微创经皮肾镜取石术中腹内压及出血量的影响[J]. 中国内镜杂志, 2012, 18 (3):249-251.
[22] 乔亮, 刘志权, 向俊, 等. 三种不同体位在经皮肾镜碎石术中的应用对比[J]. 现代泌尿外科杂志, 2013, 18(3): 275-277, 299.
[23] Mccahy P, Rzetelski-West K, Gleeson J. Complete stone clearance using a modified supine position: initial experience and comparison with prone percutaneous nephrolithotomy [J]. J Endourol, 2013, 27(6): 705-709.
[24] Shoma AM, Eraky I, El-Kenawy MR, et al. Percutaneous nephrolithotomy in the supine position: technical aspects and functional outcome compared with the prone technique [J].Urology, 2002, 60(3): 388-392.
[25] Kan RW, Fu KK, Wong BT, et al. Percutaneous nephrostomy,nephrolithotomy and combined ureteroscopic lithotripsy using the supine approach[J]. Hong Kong Med J, 2013, 19(2): 142-149.
[26] 许可慰, 张彩霞, 郭正辉, 等. 斜仰卧- 截石位经皮肾镜取石术治疗复杂性肾结石[J/CD]. 中华腔镜泌尿外科杂志: 电子版,2012, 6(5): 5-8.
[27] Arrabal-Martin M, Arrabal-Polo MA, Lopez-Leon V, et al. The oblique supine decubitus position: technical description and comparison of results with the prone decubitus and dorsal supine decubitus positions[J]. Urol Res, 2012, 40(5): 587-592.
[28] 薛娟, 阳建福, 蒋志强, 等. 斜卧体位与俯卧体位在微创经皮肾镜取石手术中的比较[J]. 中南大学学报: 医学版, 2012, 37(4):408-412.
[29] 文瀚东, 潘铁军, 徐耀鹏, 等. 双肾结石俯卧与仰卧位经皮肾镜术的对比研究(附9 例报告)[J]. 临床泌尿外科杂志, 2011, 26(4): 288-289.
[30] 区演乐, 张政, 韦德才, 等. 腰肋悬空仰卧位下经皮肾镜治疗肾和输尿管上段结石的疗效观察[J]. 中国当代医药, 2013, 20(1):50-51.
[31] 胡晓晖, 陈洪波, 江克华, 等. 三种不同体位行微创经皮肾镜钬激光碎石术疗效分析[J/CD]. 中华腔镜外科杂志: 电子版, 2014(3): 55-57
[32] Valdivia UJ, Lachares SE, Villarroya RS, et al. Percutaneous nephrolithectomy: simplified technic (preliminary report)[J]. Arch EspUrol, 1987,40(3): 177-180.
[33] Valdivia Uría JG, Valle Gerhold J, López López JA, et al.Technique and complications of percutaneous nephroscopy:

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备注/Memo

备注/Memo:
基金项目:广东省自然科学基金( S2013010015356)
通讯作者:吴荣佩,Email:pacemaker_wrp@163.com
更新日期/Last Update: 2016-10-30