Department of Nursing, The First Affiliated Hospital of Nanchang University, Nanchang, China.
The First Clinical Medical College of Nanchang University, Nanchang, China.
J Endourol. 2021 Dec;35(12):1793-1800. doi: 10.1089/end.2021.0264.
To compare the percutaneous and laparoscopic treatment for renal cyst to determine the optimal therapy for patients with renal cyst. A systematic search of PubMed, Cochrane Library, Web of Science, and EMBASE databases was conducted for articles published through June 3, 2020, using the preferred reporting items for systematic reviews and meta-analyses guidelines. We found 493 studies from databases, and 6 were considered for the evidence synthesis. A total of 1631 cases were included. Of these patients, 488 cases underwent laparoscopic treatment and 1143 cases underwent percutaneous treatment. Symptomatic and radiologic success were higher for laparoscopic treatment (odds ratio [OR], OR = 3.59, confidence interval [95% CI], 1.45-8.88, = 0.006; and OR = 7.46, 95% CI 3.99-13.94, < 0.00001, respectively). Minor or severe complications were similar between the two treatments (OR = 1.54, 95% CI 0.40-5.98, = 0.53; OR = 3.13, 95% CI 0.03-359.76, = 0.64, respectively). Laparoscopic treatment for renal cyst was associated with better symptomatic and radiologic success, and its complication was no more than percutaneous treatment.
为了比较经皮和腹腔镜治疗肾囊肿的疗效，以确定肾囊肿患者的最佳治疗方法。我们对 PubMed、Cochrane Library、Web of Science 和 EMBASE 数据库进行了系统检索，检索时间截至 2020 年 6 月 3 日，使用系统评价和荟萃分析的首选报告项目进行检索。我们从数据库中找到了 493 项研究，其中 6 项被认为适合进行证据综合。共有 1631 例患者纳入研究。其中，488 例患者接受腹腔镜治疗，1143 例患者接受经皮治疗。腹腔镜治疗的症状和影像学成功率更高（比值比[OR]，OR=3.59，95%可信区间[CI]：1.45-8.88， = 0.006；OR=7.46，95% CI 3.99-13.94， < 0.00001）。两种治疗方法的轻微或严重并发症发生率相似（OR=1.54，95% CI 0.40-5.98， = 0.53；OR=3.13，95% CI 0.03-359.76， = 0.64）。腹腔镜治疗肾囊肿的症状和影像学成功率更好，且并发症并不多于经皮治疗。
