| 摘要: |
| 目的 系统评价超声内镜引导下胰腺假性囊肿穿刺的安全性和有效性。 方法 通过检索PubMed、Embase、Web of Science、Cochrane Library、CNKI数据库、中国生物医学文献服务系统(CBM)、万方资源数据库、维普期刊等文献数据库,收集有关超声内镜引导下胰腺假性囊肿穿刺引流的研究资料,检索时间为建库至2018年6月底,由2名有资质的研究人员遵循相同的标准分别独立对文献进行筛选、质量评价和数据提取,如有争议,则共同讨论,必要时由第三名研究人员仲裁决定是否纳入,并用Meta-Analyst software (version beta 3.13)软件进行数据的统计分析。结果 最终纳入文献22篇,共830个病变,统计分析结果示：技术成功率为94.0％,95％CI为(0.920,0.956),治疗成功率为86.2％,95％CI(0.824,0.893),并发症发生率为15.7％,95％CI为(0.121,0.201),复发率为8.5％,95％CI为(0.062,0.116)。结论 超声内镜引导下穿刺引流治疗胰腺假性囊肿是安全有效的。 |
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| DOI： |
| 投稿时间：2019-06-12修订日期：2019-07-09 |
| 基金项目:] 本课题获南方医科大学南方医院护理创优-循证实践专项课题资助,项目名称：早期结肠癌ESD术前饮食干预对肠道清洁度影响的Meta分析,项目编号为2017EBNd009 |
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| Meta-analysis of safety and effectiveness of endoscopic ultrasonography-guided puncture of pancreatic pseudocysts |
| huangrong |
| () |
| Abstract: |
| Objective To systematically evaluate the safety and effectiveness ofendoscopic ultrasound-guided pancreatic pseudocyst puncture． Methods We collected endoscopic ultrasound-guided pancreatic pseudocysts by searching PubMed,Embase, Web of Science,Cochrane Library,CNKI database,China Biomedical Document Service System (CBM),Wanfang Resource Database,and VIP Journals database．The puncture and drainage study data is retrieved from the date of establishment of the database until the end of December 2017．Two qualified researchers follow the same criteria to independently screen the literature, evaluate the quality, and extract the data．If there is any dispute,discuss it together．If necessary,a third researcher arbitrates whether to include it,and uses Meta-Analyst software (version beta 3.13) software for statistical analysis of the data． Results Finally,22 articles were included,involving a total of 830 lesions．The statistical analysis showed that the technical success rate was 94.0％,95％CI was (0.920,0.956),and the treatment success rate was 86.2％,95％CI (0.824,0.893),the incidence of complications was 15.7％,95％CI was (0.121,0201), the recurrence rate was 8.5％,and 95％CI was (0062,0.116)． Conclusion Endoscopic ultrasound guided puncture and drainage is safe and effective for the treatment of pancreatic pseudocysts． |
| Key words: EUS Pancreatic pseudocyst Puncture Meta-analysis |
