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穿孔性阑尾炎术后腹腔引流与非引流效果对比的Meta分析

何江洋 许慧梅 朱亚娟 张芮浩 李瑞娟 牛跃平

广西医学2018,Vol.40Issue(2):190-194,5.
广西医学2018,Vol.40Issue(2):190-194,5.DOI:10.11675/j.issn.0253-4304.2018.02.21

穿孔性阑尾炎术后腹腔引流与非引流效果对比的Meta分析

Efficacy comparison between patients with versus without abdominal drainage after appendectomy for perforated appendicitis:a Meta-analysis

何江洋 1许慧梅 2朱亚娟 2张芮浩 2李瑞娟 3牛跃平1

作者信息

  • 1. 郑州大学第二附属医院普外科,河南省郑州市 450014
  • 2. 兰州大学第二临床医学院,甘肃省兰州市 730000
  • 3. 兰州大学第一临床医学院,甘肃省兰州市 730000
  • 折叠

摘要

Abstract

Objective To compare the clinical efficacy between patients with versus without abdominal drainage after appendectomy for perforated appendicitis. Methods A computer-based retrieval was performed in the databases, such as PubMed, Cochrane Library, Embase,CNKI,CBM,VIP and WanFang Data for the randomized controlled trials about the efficacy comparison between patients with versus without abdominal drainage after appendectomy for perforated appendicitis. A quality assessment was conducted in the selected literatures. RevMan 5. 2 software was applied to a Meta-analysis. Results A total of 14 trials involving 2493 patients were included. The results of the Meta-analysis showed that the postoperative drainage group had a higher incidence rate of intestinal adhesion compared to the non-drainage group(P<0. 05),and no statistically significant differences were found in the incidence rate of postoperative incision infection or abdominal abscess between the two groups(P>0. 05). The children with postoperative abdominal drainage got more hospital stay compared with the children without abdominal drainage(P <0. 05). Conclusion The patients with perforated appendicitis who do not receive abdominal drainage might be advantageous.

关键词

穿孔性阑尾炎/腹腔引流/并发症/荟萃分析

Key words

Perforated appendicitis/Abdominal drainage/Complication/Meta-analysis

分类

医药卫生

引用本文复制引用

何江洋,许慧梅,朱亚娟,张芮浩,李瑞娟,牛跃平..穿孔性阑尾炎术后腹腔引流与非引流效果对比的Meta分析[J].广西医学,2018,40(2):190-194,5.

广西医学

OACSTPCD

0253-4304

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