国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (6): 654-660.

• 论著 • 上一篇    下一篇

宫腔镜下等离子双极电切术与单极电切术治疗宫腔疾病的Meta分析

范蜀东，杨文先，鄂琪敏，肖超   

  1. 610041 四川省成都市现代医院妇产科（范蜀东，杨文先）；四川大学华西临床医学院（鄂琪敏）；四川大学华西第二医院妇科（肖超）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-12-15 发布日期:2015-12-15
  • 通讯作者: 肖超

Meta Analysis of the Effectiveness of Bipolar and Monopolar Hysteroscopic Operations in the Treatment of Uterine Disease

FAN Shu-dong，YANG Wen-xian，E Qi-min，XIAO Chao   

  1. Department of Obstetrics and Gynecology，Chengdu Modern Hospital，Chengdu 610041，China（FAN Shu-dong，YANG Wen-xian）；West China School of Medicine，Sichuan University，Chengdu 610041，China（E Qi-min）；Department of Gynecology，West China Second University Hospital，Chengdu 610041，China（XIAO Chao）
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-12-15 Online:2015-12-15
  • Contact: XIAO Chao

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摘要： 目的：评价等离子双极电切术和单极电切术治疗宫腔疾病的有效性。方法：计算机检索Medline、Embase、The Cochrane Library、中国知网（CNKI）、中国生物医学文献数据库（CBM）、万方数据库。由2名研究者按照纳入标准与排除标准独立筛选文献、提取资料和评价文献质量后，采用RevMan5.2软件和Stata软件进行Meta分析。结果：本研究纳入20篇文献，共4 418例患者。Meta分析结果显示，等离子双极电切术与单极电切术相比，手术时间、术中出血量、住院时间、血电解质和血糖差异均有统计学意义（P＜0.05）。结论：宫腔镜下等离子双极电切术与单极电切术均可完成临床常见宫腔操作，但等离子双极电切术具有手术时间短、术中出血量少、对血液电解质指标影响小、住院时间短等优势，值得临床推荐。

关键词: 电外科手术, 宫腔镜检查, 子宫疾病, Meta分析

Abstract: Objective：To compare the effectiveness of bipolar electrosurgical excision procedure and monopolar hysteroscopic operations in the treatment of uterine disease. Methods：Such databases as Medline，Embase，The Cochrane Library，CNKI，CBM，Wanfang Data were electronically searched. According to the inclusion and exclusion criteria，literature was screened，data were extracted，and the methodological quality of included studies were also assessed by two researchers. Then，meta-analysis was performed using RevMan 5.2 and stata12.0 software. Results：20 studies with 4 418 participants were included. Evidence was found that there were statistical differences in operation time，amount of blood loss，hospitalization time，blood electrolyte and blood glucose（P＜0.05）. Conclusions：The common clinical uterine cavity operation can be finished by bipolar electrosurgical excision procedure and monopolar hysteroscopic operations，but bipolar electrosurgical excision procedure has the priority in operation time，amount of blood loss，hospitalization time and blood electrolyte，and it′s worthy to be recommended in clinic.

Key words: Electrosurgery, Hysteroscopy, Uterine diseases, Meta-analysis