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[体外物理振动排石术在上尿路残余结石辅助治疗中的疗效:一项Meta分析]

[The efficacy of external physical vibration lithecbole in the assistant treatment of the upper urinary tract residual stones: a meta-analysis].

作者信息

Zhang R C, Qin X, Liu Z H, Tang L Y, Zou Z J, Liang J Y, Wang Y J, Tang Y Q, Lu Y P

机构信息

Department of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2016 Oct 18;96(38):3094-3098. doi: 10.3760/cma.j.issn.0376-2491.2016.38.012.

Abstract

To determine the clinical effect of Friend-Ⅰ External Physical Vibration Lithecbole (EPVL) by Meta-analysis. Pubmed, Embase, Medline, Cochrane Library, Chinese National Knowledge Infrastructure were searched for clinical trials comparing EPVL with the conventional treatment. The quality of included studies was assessed and Meta-analysis was conducted by Review Manager 5.3 software. Five randomized or Quasi-randomized controlled trials met the inclusion criteria. The first day stone expulsion rate of EPVL group was superior to the control group (=4.95, 95% : 3.35-7.32, <0.000 01). Both one-week (=3.13, 95% : 1.95-5.04, <0.000 01) and two-week stone free rate (=4.50, 95% : 2.02-10.00, =0.000 2) were statistically higher in the EPVL group than that in the control group. No severe adverse event occurred during the follow-up. Our study suggested that EPVL could be the effective treatment for upper urinary tract residual stone. However, more high quality randomized controlled trials are needed to better affirm this.

摘要

通过Meta分析确定Friend-Ⅰ型体外物理振动排石术(EPVL)的临床效果。检索Pubmed、Embase、Medline、Cochrane图书馆、中国知网中比较EPVL与传统治疗方法的临床试验。评估纳入研究的质量,并使用Review Manager 5.3软件进行Meta分析。五项随机或半随机对照试验符合纳入标准。EPVL组第一天的结石排出率优于对照组(=4.95,95%置信区间:3.35 - 7.32,<0.000 01)。EPVL组的一周结石清除率(=3.13,95%置信区间:1.95 - 5.04,<0.000 01)和两周结石清除率(=4.50,95%置信区间:2.02 - 10.00,=0.000 2)在统计学上均高于对照组。随访期间未发生严重不良事件。我们的研究表明,EPVL可能是治疗上尿路残余结石的有效方法。然而,需要更多高质量的随机对照试验来更好地证实这一点。

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