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术前胆道引流对胰十二指肠切除术后影响的Meta分析

贺学荣 张宝华 龚建平

引用本文:
Citation:

术前胆道引流对胰十二指肠切除术后影响的Meta分析

DOI: 10.3969/j.issn.1001-5256.2017.09.024
详细信息
  • 中图分类号: R657.5

Effect of preoperative biliary drainage on complications and short-term mortality after pancreaticoduodenectomy: a Meta-analysis

  • 摘要: 目的旨在评估术前胆道引流(PBD)对胰十二指肠切除术(PD)后的并发症及短期病死率的影响。方法检索Pub Med、Embase、Cochrane等数据库以及美国主要消化有关杂志在2010年1月1日-2017年1月1日发表的PBD对PD影响的最新研究。采用Rev Man5.3软件对手术后总并发症发生率、术后感染发生率、术后吻合口瘘发生率、术后短期病死率进行统计学分析。结果最终纳入8篇文献共2687例患者,分为PBD组(PD术前经PBD处理)和n-PBD组(PD术前未经处理)。在短期病死率方面,PBD组与n-PBD组无明显统计学差异[比值比(OR)=1.19,95%可信区间(CI):0.791.80,P=0.41];术后总并发症发生率和术后感染发生率方面,PBD组比n-PBD组明显增高(OR=1.95,95%CI:1.243.06,P=0.004;OR=2.37,95%CI:1.453.87,P=0.000 5);术后吻合口瘘的发生率两组间无明显统计学差异(OR=1.43,95%CI:0.952.14,...

     

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  • 收稿日期:  2017-04-13
  • 出版日期:  2017-09-20
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