非复杂性输尿管镜术后放置支架管的Meta分析

摘要

Objective To analyze whether routine stenting after uncomplicated ureteroscopy can reduce the risk of urinary tract infection. Methods Papers on randomized controlled trails (RCT) were searched in databases of Cochrane Collaboration Reviews, Medlinc, Embase and Pubmed. Review management and data analysis were then conducted with software RevMan A. 2. Results 37 studies with relevant RCTs were found and 5 of them were enrolled in Meta-analysis. The result revealed that stcnting after uncomplicated urctcroscopy could reduce the risk of urinary tract infection and the corresponding pooled relative riskCRR) and 95% CI was 1. 62(1. 04 - 2. 52). Conclusion Routine stcnting after uncomplicated urctcroscopy can reduce the risk of urinary tract infection.%目的 分析非复杂性输尿管镜术后放置输尿管支架管能否减轻泌尿系感染.方法 制定原始文献的纳入标准、排除标准及检索策略,对Cochrane图书馆数据库、Medline数据库、Embase数据库、Pubmed数据库2003~2010年相关的随机对照试验进行检索,采用RevMan4.2软件进行Meta分析.结果 共检索到相关随机对照试验37篇,排除32篇,符合纳入标准5篇进入Meta 分析.结果 显示,非复杂性输尿管镜术后放置输尿管支架管能降低术后泌尿系感染的发生率,其RR值及其95% CI分别为1.62(1.04～2.52 ).结论 非复杂性输尿管镜术后放置输尿管支架管引流尿液能降低术后泌尿系感染发生率.