| 腹腔镜与开放式无张力疝修补术治疗成人腹股沟疝疗效的系统评价 |
| Alternative Title | Laparoscopic Compared with Open Methods of Groin Hernia Repair in Adult: Systematic Review of Clinical Controlled Trials
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| 景恩义 |
| Thesis Advisor | 郭天康
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| 2012-05-29
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | 腹腔镜疝修补术
开放式无张力疝修补术
系统评价
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| Abstract | 目的：比较评价腹腔镜与开放式无张力修补术治疗成人腹股沟疝的临床疗效。
方法：计算机检索PubMed（2002～2009，9），EMBASE（2002～2009，9），Cochrane图书馆临床对照试验资料库（2009年第3期），中国生物医学文献数据库（CBM）（2002～2009，9），中国学术期刊网全文数据库（CNKI）和维普中文科技期刊数据库（2002～2009，9）。结果：最终纳入18个试验,共5816例。Meta分析结果显示：腹腔镜与开放式疝修补术相比较,两者在远期复发率[OR 1.53, 95% CI (1.00，2.34)，P＝0.05]、术后并发症发生率[OR 0.74, 95% CI (0.52，1.05)，P=0.09]方面差异均无统计学意义。但两者在慢性持续性疼痛[OR 0.45, 95% CI (0.34，0.59)， P＜0.00001]、术中并发症发生率[OR 2.15, 95% CI (1.32，3.53)，P=0.002]方面的差异有统计学意义。
结论：本研究结果提示，腹腔镜疝修补术在降低慢性疼痛的发生方面优于开放式无张力疝修补术；远期复发率和术后并发症方面没有差异。术中并发症和其它术后远期并发症尚需进一步研究。 |
| Other Abstract | Objective：To evaluate the clinical effectiveness of laparoscopic and open tension-free hernia repairs in adult.
Methods：A fully recursive literature search was conducted in PubMed (2002 to September,2009), EMBASE (2002 to September,2009), Cochrane Central Register of Controlled Trials (Issue 3, 2009), CBM (2002 to September,2009) , CNKI and VIP Chinese Scientific Journals Full-text Database (2002 to September,2009) in any language. Conclusion：Current evidence suggests that laparoscopic hernia repair is superior to open methods in chronic pain .There is no significant in long term recurrence rate and postoperative complication between two methods. More studies are needed for intraoperative complications and other long term postoperative complications. |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/223544
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
景恩义. 腹腔镜与开放式无张力疝修补术治疗成人腹股沟疝疗效的系统评价[D]. 兰州. 兰州大学,2012.
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