摘要
Abstract
Objevtive:To evaluate the efficacy and security of nickel-titanium shape memory alloy compression anastomosis clip(Ni-Ti CAC) for gastrointestinal anastomosis.Method:Databases were searched by Pubmed,Embase,CENTRAL,CBM,CNKI and Wangfang for RCT about the treatment of Ni-Ti CAC for gastrointestinal anastomosis.Meta-analysis was analyzed by Rev Man 5.0 software after evaluating the quality of literatures objectively.Result:10 literature and 1283 patients were absorbed into this article,Meta-analysis results showed:there were no differences of Ni-Ti CAC group and control group in total complication rate[RR=0.51, 95%CI(0.25,1.01),P=0.05],flatus time after operation[WMD=-0.12,95%CI(-0.46,0.23),P=0.51] and leakage rate[RR=0.68,95%CI(0.20,2.36),P=0.55].However,the anastomotic time [SMD=-2.99,95%CI (-5.11,-0.88),P<0.05] and hospital stay time after operation [WMD=-1.25,95%CI(-2.42,-0.07), P=0.04] in the Ni-Ti CAC group were better than the control group.Conclusion:Ni-Ti CAC,traditional metal anastomat and manual anastomosis are effective and secure to the digestive tract anastomosis,but Ni-Ti CAC has certain advantages over the traditional methods,it is worthy of clinical promotion.关键词
镍钛记忆合金加压吻合环/金属钉吻合器/手工吻合/消化道吻合术Key words
Nickel-titanium shape memory alloy compression anastomosis clip/Metal anastomat/Manual anastomosis/Digestive tract anastomosis
