中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (11): 1013–1016.doi: 10.12007/j.issn.0258-4646.2016.11.013

• 论著 • 上一篇    下一篇

腹腔镜内镜微创保胆术治疗胆囊息肉的 meta 分析

张蔚,薛皓皓,李雯,黎耀东,王莉   

  1. 西安医学院第一附属医院院办,西安 710077
  • 收稿日期:2015-12-21 出版日期:2016-11-29 发布日期:2016-11-04
  • 通讯作者: 王莉 E-mail:piaolanger7828@163.com
  • 作者简介:张蔚(1978 -),男,主治医师,本科 .
  • 基金资助:
    陕西省社会发展攻关项目(2015SF080);陕西省教育厅 科学研究项目(14JK1628);西安市科技局医学研究项目[SF1418(5)]

Meta Analysis of Laparoscopic Minimally Invasive Endoscopic Confirmed Gallbladder Surgery in the Treatment of Gallbladder Polyps

ZHANG Wei,XUE Haohao,LI Wen,LI Yaodong,WANG Li   

  1. The Office of Hospital,The First Affiliated Hospital of Xi’an Medical University,Xi’an 710077,China
  • Received:2015-12-21 Online:2016-11-29 Published:2016-11-04

摘要: 目的 探讨腹腔镜内镜微创保胆手术治疗胆囊息肉的临床疗效,为临床治疗提供科学依据。方法 检索 PubMed、CNKI 等数据库中使用腹腔镜内镜微创保胆术治疗胆囊息肉患者的临床资料,对其诊断过程、结果、有无并发症等情况采取随机对照 的方法进行 meta 分析。结果 共纳入 8 篇文献,研究案例 1 086 例。meta 分析结果表明,胆囊息肉患者使用腹腔镜内镜微创保 胆手术相比较于腹腔镜胆囊切除术(LC)的手术时间更短、术中出血量更少、术后第 1 次排气时间更短、术后并发症的发生率更 低、肠蠕动恢复时间更早,差异有统计学意义。结论 腹腔镜内镜微创保胆取息术较 LC 痛苦轻、康复快、手术并发症少,对符合 适应症的患者是一种安全、有效的术式。

关键词: 腹腔镜内镜微创保胆术, 腹腔镜胆囊切除术, 胆囊息肉, meta 分析

Abstract: Objective To evaluate the clinical efficacy of endoscopic minimally invasive laparoscopic gallbladder surgery gallbladder polyps ,so as to provide a scientific basis for clinical treatment. Methods Retrieved from PubMed,CNKI and WANFANG database,random controlled trials about the laparoscopic minimally invasive endoscopy in the treatment of gallbladder polyps were collected,and the meta-analysis was performed for the diagnosis process,the treatment results,complications and so on. Results A total of 8 RCTs were included,involving 1 086 patients. Metaanalysis showed that the operation time of gallbladder polyps patients with laparoscopic minimally invasive endoscopy confirmed gallbladder surgery were shorter than laparoscopic resection. In addition,the intraoperative blood loss was less,the postoperative exhaust time was shorter for the first time,with lower incidence of postoperative complications and earlier peristalsis recovery time. The differences were intestinal statistically significant. Conclusion The laparoscopic minimally invasive endoscopic confirmed gallbladder surgery is better than laparoscopic cholecystectomy with lighter pain,faster recovery,less complications,which is a safe and effective operation.

Key words: laparoscopic minimally invasive endoscopic confirmed gallbladder surgery, gallbladder polyps, laparoscopic cholecystectomy, meta analysis

中图分类号: 

  • R43
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