单腔造口和双腔造口的Meta分析.pdf

单腔造口与双腔造口的Meta分析中文摘要I单腔造口与双腔造口的Meta分析中文摘要目的:评价单腔造口和双腔造口的并发症发生风险,探讨两种造口方式各自的优劣,为临床应用提供参考。方法:检索PubMed、EMBASE、Springer及NCBI等公共检索系统,文献搜索截止至2014-02-01,纳入文献时间跨度从1996-2010年。选择其中有关单腔造口和双腔造口比较的对比研究,进行质量评价及数据提取,对造口缺血坏死、造口旁疝、造口脱垂、造口周围感染(皮炎),造口狭窄以及造口回缩进行分析。。结果:(1)Meta分析结果显示,单腔造口在造口旁疝(RR:,CI:-,Z=, P=)、造口脱垂(RR:,CI:-,Z=,P=)及造口回缩(RR:,CI:-,Z=,P=)方面较双腔造口风险要小。(2)双腔造口在造口缺血坏死(RR:,CI:-,Z=,P=)方面更具优势。(3)而对于造口狭窄(P=)及造口周围感染(P=),研究结果并无显著统计学意义。结论:根据本研究数据,两种造口方式各有利弊,单腔造口的并发症较双腔造口而言相对要少,更有利于术后患者的回复,在手术中尽可能保护造口血供的情况下,我们更推荐单腔造口术。关键词:单腔造口;双腔造口;术后并发症;Meta分析作者:沈一辰指导教师:赵宏Abstract 单腔造口与双腔造口的Meta分析IIAbstractObjective: Evaluation of the risk plications between end colostomy and loop colostomy. Explore the respective merits of two kinds of enterstomy. Provide reference for clinical applicationsMethods: Retrieve PubMed,EMBASE,Springer,NCBI and other public retrieval systems,literature searches as of 2014-02-01,the time of the literature included in span from 1996 to 2010. Select parative study parative about end colostomy and loop colostomy to extract the data and evaluate the quality. We ues Software to analyze the incidence of the complications of enterstomy, as stoma necrosis, parastomal hernia, stoma prolapse, peristomal infection (dermatitis) and stoma : (1)TheMeta-analysis show that the end colostomy have a lower risk at parastomal hernia (RR:,CI:-,Z=, P=), stoma prolapse (RR:,CI:-,Z=,P=) and stoma retraction (RR:,CI:-,Z=,P=). (2) The loop colostomy is better at the group of stoma necrosis (RR:,CI:-,Z=,P=). (3) For stoma prolapse (P=) and peristomal infection (dermatitis) (P=), the study did not statistically :Each type of defuncyioning stoma has its advantages and disadvanta