论文部分内容阅读
目的比较腹腔镜与传统开腹两种手术方式对直肠癌患者的术后性功能影响的差异。方法计算机检索近10年来在中文科技期刊全文数据库、万方数据库、中国期刊全文数据库、中国生物医学数据库,Cochrane library、Em-base、PubMed等数据库上公开发表的关于腹腔镜对比传统开腹手术治疗直肠癌患者的随机对照试验(RCTs)文献,严格按标准筛选后依据Cochrane系统评价员手册4.2文献质量评价方法评价纳入研究质量,最后用RevMan 4.2软件进行系统评价。结果纳入研究的两组数据间存在异质性:I2=68%,采用Z检验:Z=1.45(P=0.15),合并效应量有统计学意义。结论两种术式在直肠癌患者术后性功能障碍方面无显著性差异,但还需要大量的、多中心的随机对照试验(RCTs)进一步证实。
Objective To compare the differences in the postoperative sexual function of patients with rectal cancer after laparoscopic and traditional laparotomy. Methods A computer-based search of the data of laparoscopic contrast-controlled traditional open laparoscopic surgery published in the Chinese Science and Technology Journals Full-text Database, Wanfang Database, Chinese Journal Full-text Database, Chinese Biomedical Database, Cochrane Library, Em-base, Patients with rectal cancer randomized controlled trials (RCTs) literature, strictly according to the standard screening according to the Cochrane Reviewer Manual 4.2 document quality evaluation method to evaluate the quality of the included studies, and finally with RevMan 4.2 software for systematic reviews. Results There was heterogeneity between the two data sets included in the study: I2 = 68% and Z = 1.45 (P = 0.15). The combined effect was statistically significant. Conclusions There is no significant difference between the two procedures in patients with rectal cancer after sexual dysfunction, but a large number of multi-center randomized controlled trials (RCTs) are needed.