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

刘健男; 刘亚东; 田河; 冯越; 徐敏玲; 安瑞华

doi:10.13201/j.issn.1001-1420.2017.02.009

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

- 哈尔滨医科大学附属第一医院泌尿外科(哈尔滨, 150001)

详细信息

通讯作者: 安瑞华,E-mail:ruihuaan@126.com

中图分类号: R692

收稿日期: 2016-09-07

Laparoscopic de-roofing versusultrasound guided puncture sclerotherapy for treatment of kidney cysts: a meta-analysis and systematic review

- Department of Urology, First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China

More Information

Corresponding author: AN Ruihua, E-mail: ruihuaan@126.com

Received Date: 07 September 2016

摘要

摘要: 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、住院时间、费用方面占优势，但治愈率方面腹腔镜去顶减压更具优势。
- 去顶减压 /
- 穿刺硬化 /
- 肾囊肿 /
- meta
Abstract: Objective: To compare the effectiveness between laparoscopic de-roofing and ultrasound guided puncture sclerotherapy for treatment of kidney cysts.Method: The data were acquired from PubMed, Embase, Cochrane Library, CNKI and Wanfang.Nine references were collected in the meta and 1812 people were incorporated.Operation time and postoperative hospital stay, costs, recovery rate, postoperative complications were detected in the meta.There were 554 patients who underwent laparoscopic de-roofing procedure, and 1258 patients who underwent ultrasound guided puncture sclerotherapy.Result: The meta revealed that the parameters of ultrasound guided puncture sclerotherapy in operation time(MD:-51.55;95%CI:-58.76, -44.34;P<0.01), the postoperative hospital stay(MD:-146.80;95%CI:-154.13, -139.47;P<0.01), the costs(MD:-1186.15;95%CI:-1545.59, -826.71;P<0.01) were lower than those of the laparoscopic deroofing, also the recovery rate(RR:0.95;95%CI:0.91, 0.98;P=0.001) was lower than that of the laparoscopic de-roofing.Conclusion: The meta analysis reveals that ultrasound guided puncture sclerotherapy is superior to laparoscopic de-roofing in operation time, hospital stay and cost, but the recovery rate of laparoscopic deroofing is higher.
- de-roofing /
- puncture sclerotherapy /
- kidney cysts /
- meta

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参考文献(16)

[1]	Agarwal M, Agrawal M S, Mittal R, et al.A randomized study of aspiration and sclerotherapy versus laparoscopic deroofing in management of symptomatic simple renal cysts[J].J Endourol, 2012, 26(26):561-565.
[2]	Shao Q, Xu J, Adams T, et al.Comparison of aspirationsclerotherapy versus laparoscopic decortication in management of symptomatic simple renal cysts[J].J Xray Sci Technol, 2013, 21(3):419-428.
[3]	Efesoy O, Tek M, Bozlu M, et al.Comparison of single-session aspiration and ethanol sclerotherapy with laparoscopic de-roofing in the management of symptomatic simple renal cysts[J].Turk J Urol, 2015, 41(1):14-19.
[4]	Oh C K, Kim D W, Lee K W, et al.Cost Analysis of Renal Cyst Ablation:Laparoscopic Cyst Marsupialization versus Repeated Sclerotherapy about Recurrent Renal Cyst[J].Korean J Urol, 2006, 47(2):171-174.
[5]	Huang K H, Chen C H, Chang S C, et al.Treatment of symptomatic large simple cysts of the kidney-a comparison of povidone-iodine sclerotherapy with laparoscopic unroofing[J].JTUA, 2006, 17(1):14-18.
[6]	周鼎.单纯性肾囊肿经皮穿刺硬化与后腹腔镜下去顶术治疗单纯性肾囊肿的疗效比较[J].吉林医学, 2015, 36(16):3546-3547.
[7]	朱铭, 曹志刚, 梁凯, 等.后腹腔镜去顶减压术与经皮穿刺硬化术治疗单纯性肾囊肿的比较[J].临床泌尿外科杂志, 2011, 26(12):955-957.
[8]	唐艳斌.经皮穿刺硬化术和腹腔镜去顶术治疗单纯性肾囊肿的临床比较[J].中国医学工程, 2013, 21(9):69, 72.
[9]	张正宽, 熊邓飞, 刘涛.经皮穿刺硬化术和腹腔镜去顶术治疗单纯性肾囊肿的临床比较[J].中国医疗前沿, 2013, 12(7):79-80.
[10]	Ali T A, Abdelaal M A, Enite A, et al.Ultrasoundguided percutaneous sclerotherapy of simple renal cysts with n-butyl cyanoacrylate and iodized oil mixture as an outpatient procedure[J].Urol Ann, 2016, 8(1):51-55.
[11]	Demir E, Alan C, Kilciler M, et al.Comparison of ethanol and sodium tetradecyl sulfate in the sclerotherapy of renal cyst[J].J Endourol, 2007, 21(8):903-905.
[12]	Camargo A H L A, Cooperberg M R, Ershoff B D, et al.Laparoscopic management of peripelvic renal cysts:University of California, San Francisco, experience and review of literature[J].Urology, 2005, 65(5):882-887.
[13]	El-Kader O A, Mohyelden K, Metwally A H, et al.Ethanolamine oleate vs.absolute ethanol as sclerosing agents for treating symptomatic simple renal cysts[J].Arab J Urol, 2014, 12(4):294-298.
[14]	Hanash K A, Al-Othman K, Mokhtar A, et al.Laparoscopic ablation of giant renal cyst[J].J Endourol, 2003, 17(9):781-784.
[15]	Bhatt J R, Jewett M A, Richard P O, et al.Multilocular Cystic Renal Cell Carcinoma:Pathological T Staging Makes No Difference to Favorable Outcomes and Should be Reclassified[J].J Urol, 2016, 196(5):1350-1355.
[16]	Ricci P, Drudi F M, Salvatori F M, et al.[Percutaneous treatment of symptomatic renal cysts:effects of the combination of sclerotherapy with alcohol and fibrin glue(tissucol)] [J].Radiol Med, 1993, 86(5):657-661.