CAJ | 학술논문

目的：评价商环包皮环切术治疗包茎或包皮过长的疗效及安全性。方法：计算机检索 CBM、PubMed、Cochrane Library、Ovid、VIP、CNKI、万方及 EMBASE 数据库，检索时间截止2014年1月，纳入所有比较商环包皮环切术与包皮环切术治疗包茎或包皮过长的随机对照试验，2人独立进行筛选及资料提取，用RevMan5.2.5软件进行 Meta 分析。结果纳入5个研究。结果：与传统包皮环切术相比，商环包皮环切术的手术时间短[标准化均数差＝－7.17，95％可信区间（－7.53，－6.81）]、术后出血发生率低[比值比＝0.13，95％可信区间（0.03，0.51）]、感染少[比值比＝0.14，95％可信区间（0.04，0.46）]，术后外观好[比值比＝11.41，95％可信区间（3.42，38.10）]。结论：本研究证实商环包皮环切术是一种手术时间短，术后水肿及出血发生率低，术后外形美观的微创手术。但受纳入研究样本量的限制及发表偏倚的影响，上述结论尚需开展更多大样本多中心的随机双盲对照试验来加以验证。
목적：평개상배포피배절술치료포경혹포피과장적료효급안전성。방법：계산궤검색 CBM、PubMed、Cochrane Library、Ovid、VIP、CNKI、만방급 EMBASE 수거고，검색시간절지2014년1월，납입소유비교상배포피배절술여포피배절술치료포경혹포피과장적수궤대조시험，2인독립진행사선급자료제취，용RevMan5.2.5연건진행 Meta 분석。결과납입5개연구。결과：여전통포피배절술상비，상배포피배절술적수술시간단[표준화균수차＝－7.17，95％가신구간（－7.53，－6.81）]、술후출혈발생솔저[비치비＝0.13，95％가신구간（0.03，0.51）]、감염소[비치비＝0.14，95％가신구간（0.04，0.46）]，술후외관호[비치비＝11.41，95％가신구간（3.42，38.10）]。결론：본연구증실상배포피배절술시일충수술시간단，술후수종급출혈발생솔저，술후외형미관적미창수술。단수납입연구양본량적한제급발표편의적영향，상술결론상수개전경다대양본다중심적수궤쌍맹대조시험래가이험증。
Objectives:To evaluate the efficacy of Chinese Shang Ring circumcision for phimosis or redun-dant prepuce.Methods:Related original studies with only randomized controlled trials published by January 2014 were searched in the databases,such as PubMed,EMBASE,OVID,the Cochrane Library,CNKI,VIP,CBMand Wanfang.Two reviewers independently screened the studies for eligibility and extracted the data from the eligible studies.Meta -analysis was performed by RevMan5.2.5 software.Results:Five studies involving 1273 patients were included.In comparison with the conventional technique,fewer time of surgery [SMD =-7.17,95% CI(-7.53,-6.81),P <0.00001],fewer number of postoprative bleeding [OR =0.13,95%CI(0.03,0.51),P =0.003],lower postoperative infection [OR =0.14,95% CI (0.04,0.46),P =0.001]and fewer number of ap-pearance defect [OR =11.41,95% CI (3.42,38.10),P <0.0001 ]were found in the Shang Ring group. Conclusions:The evidence available indicates that Chinese Shang Ring circumcision is an effective and minimally invasive treatment for phimosis or redundant prepuce.