CAJ | 학술논문

目的比较妇科恶性肿瘤术后有无放置盆腔引流管的临床转归。方法全面检索2014年12月31日前在Medline、EMBASE、Science Direct、Springer link、CBM、中国知网、PUBMED、万方以及维普数据库公开发表关于妇科恶性肿瘤术后无引流管与置引流管患者比较的文献，按纳入排除标准由2位研究者独立进行文献筛选、资料提取和方法学质量评价后，采用RevMan 5．2．7软件进行Meta分析。结果共纳入10篇研究，其中包含6篇英文文献，4篇中文文献，共包含妇科恶性肿瘤术后患者1238例，Meta分析结果显示：术后无引流管组肠鸣音恢复时间较置引流管管组明显缩短（P＜0．01），术后无引流管组和置引流管组的术后发热率、淋巴囊肿形成率均差异无统计学意义。妇科恶性肿瘤淋巴结清扫术后，盆腔引流管的放置不能减少发热发病率、淋巴囊肿形成率，反而延长胃肠功能恢复时间。结论手术后腹膜没有关闭的前提下，手术没有大量出血或渗液时，可以不需要引流。
목적비교부과악성종류술후유무방치분강인류관적림상전귀。방법전면검색2014년12월31일전재Medline、EMBASE、Science Direct、Springer link、CBM、중국지망、PUBMED、만방이급유보수거고공개발표관우부과악성종류술후무인류관여치인류관환자비교적문헌，안납입배제표준유2위연구자독립진행문헌사선、자료제취화방법학질량평개후，채용RevMan 5．2．7연건진행Meta분석。결과공납입10편연구，기중포함6편영문문헌，4편중문문헌，공포함부과악성종류술후환자1238례，Meta분석결과현시：술후무인류관조장명음회복시간교치인류관관조명현축단（P＜0．01），술후무인류관조화치인류관조적술후발열솔、림파낭종형성솔균차이무통계학의의。부과악성종류림파결청소술후，분강인류관적방치불능감소발열발병솔、림파낭종형성솔，반이연장위장공능회복시간。결론수술후복막몰유관폐적전제하，수술몰유대량출혈혹삼액시，가이불수요인류。
Objective To systematically evaluate the outcomes of retroperitoneal drainage versus no drainage after pelvic lymphadenectomy in gynaecological cancer patients.Methods Databases such as Medline, EMBASE, Science Direct,Springer link,CBM,CNKI,PUBMED、Wan fang and VIP databases were searched comprehensively. We retrieval the articles which reporting outcomes compared no drainage with drainage following lymphadeneetomy,the latest searches were performed on 31 December 2014.Based on the including and excluding criteria,literatures that were eligible were screened and data were retrieved.RevMan 5.2.7 software was applied to perform the Meta-analy-sis.Results A total of 10 articles were eligible for the Meta-analysis,involving 1238 patients ,including 6 English articles and 4 Chinese article.The meta-analysis showed that the patients postoperative with drainage tube bearing lon-ger of bowel sounds recovery (P<0.01),but there were no statistically significant differences in the febrile morbidity and lymphcyst formation.After the eradicative resection of gynecological malignant tumor,drainage tube, s placement donnot reduce febrile morbidity,lymphcyst formation,but prolong the recovery time of gastrointestinal tract.Conclu-sion When the pelvic peritoneum was left open,and surgery without a lot of bleeding or exudation ,drainage is not needed.