CAJ | 학술논문

采用RevMan 5.0软件,对1996年11月至2012年5月国内外正式刊载的8篇闭孔路径尿道中段悬吊术治疗女性压力性尿失禁的随机对照研究进行Meta分析,结果显示,“由外向内”闭孔路径吊带手术(TOT)对“由内向外”经闭孔吊带手术(TVT-O)的客观治愈率(RR=1.01,95％ CI:0.96 ～ 1.06)、客观失败率(RR=0.99,95％CI:0.46～2.11)、术后排空障碍(RR =0.94,95％ CI:0.56 ～ 1.57)、大腿内侧疼痛(RR =0.80,95％ CI:0.53 ～ 1.20)及吊带暴露(RR =2.80,95％ CI:0.97 ～8.14)发生率差异均无统计学意义(P＞0.05).提示两种手术治疗压力性尿失禁短期疗效和安全性相当.
채용RevMan 5.0연건,대1996년11월지2012년5월국내외정식간재적8편폐공로경뇨도중단현조술치료녀성압력성뇨실금적수궤대조연구진행Meta분석,결과현시,“유외향내”폐공로경조대수술(TOT)대“유내향외”경폐공조대수술(TVT-O)적객관치유솔(RR=1.01,95％ CI:0.96 ～ 1.06)、객관실패솔(RR=0.99,95％CI:0.46～2.11)、술후배공장애(RR =0.94,95％ CI:0.56 ～ 1.57)、대퇴내측동통(RR =0.80,95％ CI:0.53 ～ 1.20)급조대폭로(RR =2.80,95％ CI:0.97 ～8.14)발생솔차이균무통계학의의(P＞0.05).제시량충수술치료압력성뇨실금단기료효화안전성상당.
To assess the effectiveness and safety of " inside-out" (TVT-O) vs." outside-in" transobturator-tape procedures (TOT) in the surgical management of female stress urinary incontinence (SUI).A total of 8 randomized controlled trials were retrieved from the literature and analyzed by metaanalysis with RevMan 5.0 software.Meta-analysis showed that no statistical differences existed in objective cure rate,objective failure,postoperative voiding dysfunction,groin/thigh pain and sling exposure in both procedures (P ＞ 0.05).These preliminary results suggest there is no evidence of significant differences in the efficacy and safety between TVT-O and TOT.