临床医学研究与实践2024,Vol.9Issue(22) :5-8.DOI:10.19347/j.cnki.2096-1413.202422002

一次性输尿管软镜与可重复使用输尿管软镜治疗上尿路结石有效性及安全性的Meta分析

Meta-analysis of the efficacy and safety of single-use flexible ureteroscope and reusable flexible ureteroscope in the treatment of upper urinary tract calculi

单保华 何进 张芳琼 陈绪林 鲁成军
临床医学研究与实践2024,Vol.9Issue(22) :5-8.DOI:10.19347/j.cnki.2096-1413.202422002

一次性输尿管软镜与可重复使用输尿管软镜治疗上尿路结石有效性及安全性的Meta分析

Meta-analysis of the efficacy and safety of single-use flexible ureteroscope and reusable flexible ureteroscope in the treatment of upper urinary tract calculi

单保华 1何进 1张芳琼 1陈绪林 1鲁成军1
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作者信息

  • 1. 湖北省秭归县人民医院/湖北三峡职业技术学院第二附属医院,湖北宜昌,443600
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摘要

目的 评价一次性输尿管软镜(su-FURS)与可重复使用输尿管软镜(ru-FURS)治疗上尿路结石时的有效性及安全性.方法 通过计算机检索PubMed、Embase、Cochrane Library、万方、维普和中国知网等数据库,检索时间均为建库至2023年8月13日,收集采用su-FURS和ru-FURS治疗上尿路结石的随机对照试验(RCT).应用Stata15.0软件对纳入的文献进行荟萃分析.结果 共纳入8篇文献,累计1 338例患者.Meta分析结果显示,su-FURS与ru-FURS治疗上尿路结石的结石清除率、手术时间、住院时间、术后血红蛋白下降值、并发症发生率比较,差异无统计学意义(P>0.05).结论 在治疗上尿路结石时,su-FURS与ru-FURS的有效性和安全性无明显差异,但采用su-FURS治疗的性价较高,值得推广应用.

Abstract

Objective To evaluate the efficacy and safety of single-use flexible ureteroscope(su-FURS)and reusable flexible ureteroscope(ru-FURS)in the treatment of upper urinary tract calculi.Methods PubMed,Embase,Cochrane Library,Wanfang,VIP and CNKI databases were searched by computer from the establishment of the database to August 13,2023.Randomized controlled trials(RCT)of su-FURS and ru-FURS in the treatment of upper urinary tract calculi were collected.Stata15.0 software was used for Meta-analysis of the included literature.Results A total of 8 articles were included,with a total of 1 338 patients.The results of Meta-analysis showed that there were no significant differences in stone clearance rate,operation time,hospitalization time,postoperative hemoglobin decrease value and complication rate between su-FURS and ru-FURS in the treatment of upper urinary tract calculi(P>0.05).Conclusion There are no significant differences in the efficacy and safety between su-FURS and ru-FURS in the treatment of upper urinary tract calculi,but su-FURS is more cost-effective and worthy of popularization and application.

关键词

一次性输尿管软镜/可重复使用输尿管软镜/上尿路结石/随机对照试验/Meta分析

Key words

single-use flexible ureteroscope/reusable flexible ureteroscope/upper urinary tract calculi/randomized controlled trial/Meta-analysis

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基金项目

2022年度宜昌市指导性科技计划项目(B22-2-017)

出版年

2024
临床医学研究与实践

临床医学研究与实践

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