【作者】 王尚前; 邵国安; 胡学军; 张虎; 刘贵峰;
【Author】 WANG Shang-qian,SHAO Guo-an,HU Xue-jun,ZHANG Hu,LIU Gui-feng Cancer Diagnosis & Treatment Center of the Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China
【机构】 新疆医科大学第五附属医院肿瘤诊疗中心;
【摘要】 目的系统评价甲状腺、甲状旁腺手术后放置引流管的临床效果。方法计算机检索e CochraneCentral Register of Controlled Trials(CENTRAL)、MEDLINE、EMbase、SCI、CNKI,纳入甲状腺、甲状旁腺术后常规放置引流管与不放置引流管比较的随机对照试验(RCT)。检索时间均从建库至2011年3月29日,同时手检相关专业杂志和资料,并追索纳入文献的参考文献。由两位评价员独立评价纳入研究的质量、进行资料提取和交叉核对后,采用RevMan 5.1.2软件进行Meta分析。结果纳入16个RCT,共1 907例患者。Meta分析结果显示,在再次手术、切口血肿/血清肿、切口感染、皮下积液发生率方面,甲状腺、甲状旁腺术后常规放置引流管与不放置引流管相比,两组差异均无统计学意义(P>0.05)。引流组的术后切口疼痛评分优于未引流组,两组差异有统计学意义[RR=2.15,95%CI(1.10,4.23),P=0.03];但住院时间比未放置组长,两组差异有统计学意义[SMD=0.79,95%CI(0.38,1.20),I2=93%,P=0.000 2... 更多还原
【Abstract】 Objective To learn the postoperative wound complications of thyroid and parathyroid,respiratory complications,duration of hospital stay and postoperative mortality,so as to further clarify the clinical effectiveness of placing drainage tube after thyroid and parathyroid surgery.Methods The following databases as The Cochrane Library,MEDLINE,EMbase,SCI and CNKI were retrieved orderly from the date of their establishment to March 29th,2011.The literature was screened strictly according to inclusiv... 更多还原 【关键词】 甲状腺; 甲状旁腺; 引流; 系统评价; Meta分析; 随机对照试验; 【Key words】 Thyroid; Parathyroid; Drainage; Systematic review; Meta-analysis; Randomzed controlled trial;
【分类号】R653
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