医学信息2024，Vol.37Issue(14)：56-61,6.DOI:10.3969/j.issn.1006-1959.2024.14.010
经阴道自然腔道内镜与经脐单孔腹腔镜全子宫切除术的Meta分析
Meta-analysis of Transvaginal Natural Orifice Transluminal Endoscopy and Transumbilical Laparoendoscopic Single-site Surgery for Total Hysterectomy
摘要
Abstract
Objective To systematically evaluate the efficacy and safety of transvaginal natural orifice transluminal endoscopy surgery(vNOTES)and transumbilical laparoendoscopic single-site surgery(LESS)for total hysterectomy.Methods Electronic databases such as CBM,Wanfang,CNKI,PubMed,Embase and The Cochrane Library were searched to collect clinical controlled trials comparing the effects of vNOTES and LESS on hysterectomy.The retrieval time was from the establishment of the database to October 2022.Two reviewers independently screened literature according to the inclusion and exclusion criteria,extracted data,and evaluated the quality of included studies.Meta-analysis was performed using RevMan 5.3.Results A total of 9 articles involving 955 patients were included.The operation time of vNOTES group was shorter than that of LESS group(MD=-13.11,95％CI:-19.09 to-7.12,P＜0.05);postoperative exhaust time in vNOTES group was shorter than that in LESS group(MD=-14.11,5％CI:-20.06 to-8.17,P＜0.05);the VAS score in vNOTES group was lower than that in LESS group(MD=-0.60,95％CI:-1.04 to-0.17,P＜0.05);the length of hospital stay in vNOTES group was shorter than that in LESS group(MD=-0.75,95％CI:-1.31 to-0.20,P＜0.05).However,there was no significant difference in intraoperative blood loss(MD=1.09,95％CI:-1.23 to 3.42,P＞0.05),HGB decrease(MD=-1.08,95％CI:-2.39 to 0.23,P＞0.05)and complication rate(MD=0.70,95％CI:0.35 to 1.39,P＞0.05)between vNOTES group and LESS group.Conclusion Compared with LESS,vNOTES has the advantages of no scar on the body surface,shorter operation time,less postoperative pain and faster recovery,but it has no advantages in intraoperative blood loss and surgical complications.关键词
经阴道自然腔道内镜/经脐单孔腹腔镜/子宫切除术Key words
Transvaginal natural orifice transluminal endoscopic surgery/Transumbilical laparoendoscopic single-site surgery/Hysterectomy分类
医药卫生引用本文复制引用
蔡鑫,夏宗燕,唐英,罗岳西..经阴道自然腔道内镜与经脐单孔腹腔镜全子宫切除术的Meta分析[J].医学信息,2024,37(14):56-61,6.基金项目
1.吴阶平医学基金会临床科研专项资助基金(编号:320.6750.2021-25-5) （编号:320.6750.2021-25-5）
2.南充市校科技战略合作专项(编号:22SXQT0254) （编号:22SXQT0254）
