摘要
目的对开放式手术与腹腔镜治疗妊娠期急性阑尾炎的效果与安全性循证分析。方法根据系统评价原则制定检索策略,计算机检索电子数据库手工检索相关杂志,检索得到的文献按照系统评价方法与原则经过筛选与质量评价,对符合要求的文献利用REV MAN 5.0进行数据分析,绘制森林图与漏斗图。结果腹腔镜对比开腹手术造成流产率与早产率的优势比分别为0.88(P=0.82)和0.79(P=0.66),差异无统计学意义。结论腹腔镜对妊娠期阑尾炎治疗效果与开放式手术比较无明显优势,但缩短住院时间,减少手术并发症,可以替代开腹手术治疗妊娠期急性阑尾炎。
Objective To make evidence-based analysis for the security and effectiveness of laparoscopic appendectomy versus open surgery for acute appendicitis in pregnancy.Methods Search on Internet or by hand according to the principles of systemic assessment,analysis the articles and draw the forest plot by rev man 5.0 software after screening and assessing.Results The contrast of rate of abortion in laparoscopic appendectomy versus open surgery was 0.88（P=0.82）,the rate of premature delivery was 0.79（P=0.66）,and the difference was not statistically significant.Conclusion There is no significant difference between the laparoscopic appendectomy group and the open surgery group,but the hospital stay length is shorten and the operative complicatioms is reduced by laparoscopy effectively.
出处
《实用医技杂志》
2011年第3期233-235,共3页
Journal of Practical Medical Techniques
关键词
腹腔镜
阑尾炎
妇女
妊娠期
Laparoscopes
Appendicitis
Pregnanct women
