CAJ | 학술논문

目的评价腔镜与开放组织结构分离技术(CST)治疗腹壁疝的疗效和安全性.方法查找比较腔镜和开放CST治疗腹壁疝的临床对照研究,使用RevMan 5.2软件进行Meta分析.结果 5项研究符合纳入标准,共纳入185例患者.Meta分析结果显示:腔镜CST与开放CST的术后复发率没有统计学差异[P =0.84,RD=-0.01,95％ CI(-0.12,0.10)];但腔镜CST的术后伤口并发症发生率明显低于开放CST[P ＜0.000 1,OR =0.19,95％ CI(0.09,0.41)];在手术时间、术中出血量、术后住院时间方面,这2种术式的差异均无统计学意义(均P ＞0.05).结论与开放CST相比,腔镜CST术后复发率相似,疗效相当;但腔镜CST可以明显降低术后伤口并发症发生率,且在手术时间、术中出血量、术后住院时间方面与开放CST无明显差异.
목적 평개강경여개방조직결구분리기술(CST)치료복벽산적료효화안전성.방법 사조비교강경화개방CST치료복벽산적림상대조연구,사용RevMan 5.2연건진행Meta분석.결과 5항연구부합납입표준,공납입185례환자.Meta분석결과현시:강경CST여개방CST적술후복발솔몰유통계학차이[P =0.84,RD=-0.01,95％ CI(-0.12,0.10)];단강경CST적술후상구병발증발생솔명현저우개방CST[P ＜0.000 1,OR =0.19,95％ CI(0.09,0.41)];재수술시간、술중출혈량、술후주원시간방면,저2충술식적차이균무통계학의의(균P ＞0.05).결론 여개방CST상비,강경CST술후복발솔상사,료효상당;단강경CST가이명현강저술후상구병발증발생솔,차재수술시간、술중출혈량、술후주원시간방면여개방CST무명현차이.
Objective To evaluate the efficacy and safety of endoscopic versus open component separation technique (CST) for abdominal hernia.Methods Systematic review was carried out to identify the controlled clinical studies comparing endoscopic CST with open CST for abdominal hernia.The Meta-analysis was performed with RevMan 5.2 software.Results The selection criteria was met in five studies.A total of 185 patients with abdominal hernia were included.Analysis of the data suggested that there was no significant differences in recurrence rate between endoscopic CST and open CST(P =0.84,risk difference =-0.01,95％ CI-0.12 to 0.10).However,endoscopic CST compared with open CST was associated with a significant reduction of postoperative wound complications (P ＜ 0.000 1,odds ratio =0.19,95％ CI 0.09 to 0.41).And there was no significant differences in operation time,intraoperative blood loss and postoperative hospital stay (all P ＞ 0.05).Conclusions As compared to open CST,endoscopic CST show equivalent clinical effects with similar recurrence rate.However,endoscopic CST was associated with a significant reduction of postoperative wound complications,and there was no significant differences in in operation time,intraoperative blood loss and postoperative hospital stay.