[1]王春力,李雨根,邓显忠,等.输尿管镜碎石术术前应用坦索罗辛辅助治疗有效性的Meta分析[J].医学信息,2020,33(19):68-72.[doi:10.3969/j.issn.1006-1959.2020.19.020]
 WANG Chun-li,LI Yu-gen,DENG Xian-zhong,et al.Meta Analysis of the Effectiveness of Tamsulosin Adjuvant Treatment Before Ureteroscopic Lithotripsy[J].Medical Information,2020,33(19):68-72.[doi:10.3969/j.issn.1006-1959.2020.19.020]
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输尿管镜碎石术术前应用坦索罗辛辅助治疗有效性的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年19期
页码:
68-72
栏目:
论著
出版日期:
2020-10-01

文章信息/Info

Title:
Meta Analysis of the Effectiveness of Tamsulosin Adjuvant Treatment Before Ureteroscopic Lithotripsy
文章编号:
1006-1959(2020)19-0068-05
作者:
王春力李雨根邓显忠李进铭唐浩桐邬 韬
川北医学院附属医院泌尿外科,四川 南充 637000
Author(s):
WANG Chun-liLI Yu-genDENG Xian-zhongLI Jin-mingTANG Hao-tongWU Tao
Department of Urology,the Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China
关键词:
输尿管镜输尿管结石坦索罗辛辅助治疗
Keywords:
UreteroscopyUreteral stonesTamsulosinAdjuvant therapy
分类号:
R693+4
DOI:
10.3969/j.issn.1006-1959.2020.19.020
文献标志码:
A
摘要:
目的 系统评价输尿管镜碎石手术前使用坦索罗辛作为辅助治疗的有效性。方法 通过计算机检索方式,检索Cochrane Library、EMBase、PubMed、万方数据知识服务平台、中国生物医学文献数据库、中国知网和维普网,同时结合其他检索方法,收集关于输尿管镜碎石术术前使用坦索罗辛辅助治疗相关的随机对照实验(RCT),检索时限为建库至2020年1月。使用RevMan 5.3软件进行Meta分析。结果 纳入10篇随机对照实验,共1035例患者,Meta分析结果显示,实验组置镜成功率、结石清除率高于对照组[OR=3.44,95%CI(1.83,6.47),P=0.0001]、[OR=4.15,95%CI(2.63,6.53),P<0.00001],手术时间短于[MD=-10.05,95%CI(-17.9,-2.19),P=0.01],手术并发症发生率低于对照组[OR=0.35,95%CI(0.22,0.57),P<0.0001]。结论 输尿管镜碎石术术前使用坦索罗辛辅助治疗可增加置镜成功率,提高结石清除率,缩短手术时间,降低手术相关并发症。
Abstract:
Objective To systematically evaluate the effectiveness of tamsulosin as an adjuvant treatment before ureteroscopic lithotripsy.Methods Through computer retrieval methods, the Cochrane Library, EMBase, PubMed, Wanfang Data Knowledge Service Platform, China Biomedical Literature Database, China Knowledge Network and Weipu Network were retrieved, and other retrieval methods were used to collect information about the preoperative use of ureteroscopic lithotripsy a randomized controlled trial (RCT) related to tamsulosin adjuvant therapy, the search time limit was from the establishment of the database to January 2020. Use RevMan 5.3 software for Meta analysis.Results 10 randomized controlled trials with 1,035 patients were included. Meta analysis showed that the success rate of mirror placement and stone clearance rate in the experimental group were higher than those in the control group [OR=3.44, 95%CI (1.83, 6.47),P=0.0001] , [OR=4.15, 95%CI(2.63, 6.53),P<0.00001], operation time was shorter than [MD=-10.05, 95%CI(-17.9,-2.19), P=0.01], surgical complications occur the rate was lower than that of the control group [OR=0.35, 95%CI (0.22, 0.57), P<0.0001].Conclusion The adjuvant treatment of tamsulosin before ureteroscopic lithotripsy could increase the success rate of endoscopic placement, improve stone removal rate, shorten operation time, and reduce operation-related complications.

参考文献/References:

[1]Sorokin I,Mamoulakis C,Miyazawa K,et al.Epidemiology of stone disease across the world[J].World J Urol,2017,35(9):1301-1320. [2]曾国华,麦赞林,夏术阶,等.中国成年人群尿石症患病率横断面调查[J].中华泌尿外科杂志,2015,36(7):528-532. [3]Singal RK,Denstedt JD.Contemporary management of ureteral stones[J].Urol Clin North Am,1997,24(1):59-70. [4]Campschroer T,Zhu X,Vernooij RWM,et al.α-blockers as medical expulsive therapy for ureteric stones:a Cochrane systematic review[J].BJU Int,2018,122(6):932-945. [5]Kaler KS,Safiullah S,Lama DJ,et al.Medical impulsive therapy(MIT):the impact of 1 week of preoperative tamsulosin on deployment of 16-French ureteral access sheaths without preoperative ureteral stent placement[J].World J Urol,2018,36(12):2065-2071. [6]Koo KC,Yoon JH,Park NC,et al.The Impact of Preoperative α-Adrenergic Antagonists on Ureteral Access Sheath Insertion Force and the Upper Limit of Force Required to Avoid Ureteral Mucosal Injury:A Randomized Controlled Study[J].J Urol,2018,199(6):1622-1630. [7]Abdelaziz AS,Kidder AM.Tamsulosin therapy improved the outcome of ureterorenoscopy for lower ureteral stones:A prospective,randomised,controlled,clinical trial[J].African Journal of Urology,2015(23):148-153. [8]Ahmed AF,Maarouf A,Shalaby E,et al.Semi-Rigid Ureteroscopy for Proximal Ureteral Stones: Does Adjunctive Tamsulosin Therapy Increase the Chance of Success[J].Urol Int,2017,98(4):411-417. [9]Bayar G,Kilinc MF,Yavuz A,et al.Adjunction of tamsulosin or mirabegron before semi-rigid ureterolithotripsy improves outcomes:prospective,randomized single-blind study[J].Int Urol Nephrol,2019,51(6):931-936. [10]Bhattar R,Tomar V,Yadav SS,et al.Comparison of safety and efficacy of tamsulosin, tadalafil,combinations and deflazacort in lower ureteric orifice negotiation by large size ureteroscope(8/9.8 Fr)prior to intracorporeal lithotripsy[J].African Journal of Urology,2018,24(2):139-145. [11]Ketabchi AA,Mehrabi S.The effect of tamsulosin,an alpha-1 receptor antagonist as a medical expelling agent in success rate of ureteroscopic lithotripsy[J].Nephrourol Mon,2013,6(1):e12836. [12]蔡笃森,郭绍洪.α受体阻滞剂提高输尿管硬镜置入成功率的效果[J].医疗装备,2018,31(23):128-129. [13]耿怀振,仝雯,曹玉梅,等.输尿管镜钬激光碎石术联合坦索罗辛治疗输尿管中下段结石的临床研究[J].泌尿外科杂志(电子版),2018,10(2):26-29. [14]李杰,余思源.输尿管镜手术围术期应用盐酸坦索罗辛临床价值分析[J].现代仪器与医疗,2018,24(3):38-40. [15]吴序立,黄伟雄,郑培奎.坦索罗辛联合黄体酮在输尿管镜碎石术围手术期应用的临床研究[J].国际泌尿系统杂志,2014,34(6):831-834. [16]朱亮,刘锋,周帆.坦索罗辛在输尿管镜碎石术围手术期应用的前瞻性随机对照研究[J].中国微创外科杂志,2013,13(3):82-83,90. [17]Ambani SN,Faerber GJ,Roberts WW,et al.Ureteral Stents for Impassable Ureteroscopy[J].Journal of Endourology,2012,27(5):549-553. [18]Bourdoumis A,Tanabalan C,Goyal A,et al.The difficult ureter:stent and come back or balloon dilate and proceed with ureteroscopy?What does the evidence say[J].Urology,2014,83(1):1-3. [19]Damiano R,Autorino R,Esposito C,et al.Stent positioning after ureteroscopy for urinary calculi:the question is still open[J].Eur Urol,2004,46(3):381-388. [20]Park HK,Choi EY,Jeong BC,et al.Localizations and expressions of alpha-1A,alpha-1B and alpha-1D adrenoceptors in human ureter[J].Urol Res,2007,35(6):325-329. [21]Jayant K,Agrawal R,Agrawal S.Tamsulosin versus tamsulosin plus tadalafil as medical expulsive therapy for lower ureteric stones:a randomized controlled trial[J].Int J Urol,2014,21(10):1012-1015. [22]Kinnman E,Nygards EB,Hansson P.Peripheral alpha-adrenoreceptors are involved in the development of capsaicin induced ongoing and stimulus evoked pain in humans[J].Pain,1997,69(1-2):79-85. [23]Alsaikhan B,Koziarz A,Lee JY,et al.Preoperative Alpha-Blockers for Ureteroscopy for Ureteral Stones:A Systematic Review and Meta-Analysis of Randomized Controlled Trials[J].J Endourol,2020,34(1):33-41.

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更新日期/Last Update: 1900-01-01