术前肠道准备能否减少全膀胱切除尿流改道术后并发症发生概率的Meta分析.pdfVIP

·1820 · 四川医学2013年12月第34卷(第12期)摇 SichuanMedical Journal,2013,Vol.34,No.12 论著 术前肠道准备能否减少全膀胱切除尿流改道术后 并发症发生概率的Meta分析 吟 何摇 跃,曾定胜,奉友刚,何摇 俊 ,余摇 周,曾阳关 (遂宁市中心医院泌尿外科,四川 遂宁629000) 揖摘要铱摇 目的摇 系统评价比较严格的肠道准备和无肠道准备对于减少全膀胱切除尿流改道术后并发症发生概率的 差异。 方法摇 计算机检索PubMed、EMBASE和Cochrane Library数据库的英文文献,通过Meta分析比较有无肠道准备两 组间术后并发症发生概率的差异。 结果摇 共有3 个随机对照研究和4 个队列研究纳入分析评价,包括636例患者。 两组 = 在术后出现死亡、伤口感染、肠梗阻、脓毒血症、吻合口漏、伤口裂开的概率差异无统计学意义(P 0郾1, 0)。 结论摇 全 膀胱切除尿流改道术前行肠道准备与不行肠道准备相比,在术后并发症的发生概率上无明显差别。 2 揖关键词铱摇 全膀胱切除尿流改道术;肠道准备;并发症;Meta分析 揖中图分类号铱摇 R 737郾14摇 摇 摇 揖文献标识码铱摇 A摇 摇 摇 揖文章编号铱摇 1004鄄0501(2013)12鄄1820鄄04 Bowel preparation versusno mechanical bowel preparation for patients undergoing cystectomy and urinary diver鄄 sion:A Meta鄄analysis郾 HE Yue, ZENG Ding鄄seng, FENG You鄄gang, et al郾 Suining Central Hospital, Suining, Sichuan 629000,China 揖Abstract铱摇 Objective摇 To evaluate the efficacy of comprehensive mechanical bowel preparation (BP) and no mechanical bowel preparation (No BP) in prevention of postoperative complications in elective urinary diversion surgery by using ileum郾 Methods摇 We searched PubMed,EMBASEandtheCochraneLibrary郾 WeperformedaMeta鄄analysistodistinguishoveralldiffer鄄 ences between the two groups郾 Results摇 Our literature search yielded three randomized controlled trials and four cohort studies, involving a total of 636 patients郾 There was no significant difference between the comprehensive bowel preparation and no bowel preparationinwoundinfection,mortality,ileus,sepsis,anasto