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目的:应用meta分析方法比较腹腔镜去顶减压和彩超引导下穿刺硬化治疗肾囊肿的效果。方法:应用Pubmed、Embase、Cochrane Library、中国知网和万方数据库提取数据,共搜集文献9篇,纳入研究对象共计1 812例,其中去顶减压554例,穿刺硬化1 258例。统计对象有手术时间、治愈率、术后住院时间、并发症发生率、费用等。结果:meta分析结果显示,穿刺硬化在手术时间(MD:-51.55;95%CI:-58.76,-44.34;P<0.01)、术后住院时间(MD:-146.80;95%CI:-154.13,-139.47;P<0.01)、费用(MD:-1186.15;95%CI:-1545.59,-826.71;P<0.01)方面明显低于腹腔镜去顶减压;而在治愈率(RR:0.95;95%CI:0.91,0.98;P=0.001)方面腹腔镜去顶减压更优。结论:穿刺硬化术在手术时间、住院时间、费用方面占优势,但治愈率方面腹腔镜去顶减压更具优势。
OBJECTIVE: To compare the effect of laparoscopic debridement and color scintigraphy in the treatment of renal cysts by meta-analysis. Methods: The data were extracted by Pubmed, Embase, Cochrane Library, CNKI and Wanfang database. A total of 9 literatures were collected, including 1812 subjects, including 554 cases of decompression and decompression, and 1 258 cases of sclerosis. Statistics include surgery time, cure rate, postoperative hospital stay, the incidence of complications, costs and so on. Results: The results of meta-analysis showed that postoperative hospital stay (MD: -146.80; 95% CI: -154.13, P <0.01) (RR: 0.95; 95% CI: -1545.59, -826.71; P <0.01) was significantly lower than that of laparoscopic decompression % CI: 0.91,0.98; P = 0.001) laparoscopic decompression better. Conclusion: Laparotomy has the advantages in operation time, hospitalization time and cost, but laparoscopic decompression has more advantages in cure rate.