[1]郭辉,刘吉元.微创经皮肾镜与传统经皮肾镜治疗肾结石的效果评价[J].中华腔镜泌尿外科杂志(电子版),2011,(04):274-277.
 GUO Hui,LIU Ji-juan.A meta-analysis of traditional percutaneous nephrolithotomy versus mini-percutaneous nephrolithotomy for treatment of kidney calculi[J].,2011,(04):274-277.
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微创经皮肾镜与传统经皮肾镜治疗肾结石的效果评价()
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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:
期数:
2011年04期
页码:
274-277
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
A meta-analysis of traditional percutaneous nephrolithotomy versus mini-percutaneous nephrolithotomy for treatment of kidney calculi
作者:
郭辉刘吉元
广东省韶关市第一人民医院泌尿外科,512000
Author(s):
GUO HuiLIU Ji-juan
关键词:
肾结石经皮肾镜微创经皮肾镜Meta分析
摘要:
目的 评价微创经皮肾镜(PCNL)与传统经皮肾镜治疗肾结石的临床效果及安全性.方法 检索Medline、Cochrane Library以及中国期刊全文数据库、中文科技期刊数据库等全文数据库,收集并按照纳入和排除标准筛选关于微创经皮肾镜与传统经皮肾镜治疗肾结石疗效比较的对照研究,提取纳入研究中关于手术时间、住院时间、结石清除率、手术成功率、术中术后出血及输血率的数据进行Meta分析.结果 共获得5个符合标准的研究,Meta分析显示微创PCNL在结石清除率、手术成功率方面与传统PCNL无统计学差异[P=0.11,OR=1.11,95%CI:(0.98,1.27);P=0.77,OR=1.02,95%CI:(0.89,1.17)],两种术式治疗肾结石方面所用的手术时间无差异[P=0.06,OR=14.36,95%CI:(-0.7,29.42)].但在术中及术后出血输血方面,微创PCNL明显优于传统PCNL [P=0.002,OR=0.11,95%CI:(0.03,0.4_4)].结论 在结石清除率、手术成功率、手术时间方面,微创经皮肾镜与传统经皮肾镜无差别,而术中及术后出血输血方面,微创PCNL明显优于传统PCNL.

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更新日期/Last Update: 1900-01-01