在儿童中治疗膀结石的内分泌与开放性囊泡切除术:系统性审查和元分析
Randy Fauzan1, Hendra Herman1, Wendy Rachman2
1Urology Division, Department of Surgery, School of Medicine, Raden Mattaher Hospital, Universitas Jambi, Jambi, Jambi, 36121, Indonesia.
F1000Research
|September 18, 2024
概括
通过内分泌学或开放性手术治疗小儿膀结石的治疗显示出类似的无结石率和更少的并发症. 开放式手术更快,但TUCL为儿科膀结石提供了最短的住院时间.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 外科手术的结果
- 膀石管理 膀石管理
背景情况:
- 儿科膀结石的最佳治疗方法尚未确定.
- 这项研究通过比较内分泌学和开放外科手术方法来解决辩论.
研究的目的:
- 为了比较儿科膀结石的内泌尿外科与开放性囊泡切除术的疗效和安全性.
- 评估的关键结果包括无石头率,并发症,手术持续时间和住院时间.
主要方法:
- 在Medline,Embase,Cochrane和clinicaltrials.gov数据库中进行了系统的搜索.
- 分析包括五项研究 (436名参与者),比较了通过尿道的囊泡脱 (TUCL),皮肤透过的囊泡脱 (PCCL) 和开放的囊泡脱 (CL).
- 通过使用Cochrane的偏差风险工具来评估研究质量.
主要成果:
- 在TUCL,PCCL和CL之间没有观察到无结石率的显著差异.
- 在所有手术方法中,并发症率相似.
- 开放式囊泡切除术 (CL) 的手术持续时间最短,而TUCL则导致住院时间最短.
结论:
- 无论是内分泌和开放手术方法,都提供了可比的无结石率和小儿膀结石的低并发症率.
- 开放式手术提供了较短的手术时间,而TUCL证明了最短的住院时间.
- 在选择手术时,应考虑手术时间和患者康复时间 (停留时间).
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