尿路接入的直径和尿路狭窄的发展:一个系统的审查
Tamires Battistini Pissaia1, Mikhael Belkovsky2, Carlo Camargo Passerotti3
1Universidade Nove de Julho - Urology Department - São Paulo (SP) - Brazil.
Acta cirurgica brasileira
|November 1, 2023
概括
这一系统性审查没有发现尿路接入 (UAS) 直径和尿路狭窄风险之间的联系. 需要进一步的随机试验来证实这些关于UAS在尿道镜学中的使用的发现.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 手术创新 在外科创新.
背景情况:
- 尿道接入罩 (UAS) 常用于尿道透视手术.
- 人们担心无人驾驶汽车可能会因粘膜压缩而导致尿路狭窄.
- 支持这种风险的经验证据有限.
研究的目的:
- 系统地审查现有的文献.
- 调查尿管接入口直径变化与发生尿管狭窄症的风险之间的关联.
- 提供基于证据的洞察力,以UAS安全性在尿路透镜.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,Scopus,Cochrane) 进行了全面的系统搜索,截至2023年5月.
- 该审查遵循PRISMA和Cochrane系统审查指南.
- 使用统计分析,包括千二测试,在不同的UAS大小中比较狭窄的发病率.
主要成果:
- 该审查包括七项研究 (六项非随机化,一项随机化) 涉及962名患者.
- 尿道狭窄的总体发病率很低,为0.9%.
- 在增加UAS直径 (9.5/11.5Fr至14/16Fr) 和尿道狭窄的发病率 (p = 0.099) 之间没有观察到统计学意义上的趋势或关系.
结论:
- 这一系统性审查没有发现尿管接入口直径与尿管狭窄的发生率之间的相关性.
- 这些发现表明,UAS直径可能不是尿管狭窄的重要风险因素.
- 建议进一步进行高质量的随机对照试验,以巩固这些结论.
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