Clinical value of ultrasound and X-ray guided percutaneous nephrolithotomy (PCNL) for treatment of kidney calculi:a meta-analysis
10.11659/jjssx.10E014054
- VernacularTitle:超声与X线引导穿刺行经皮肾镜取石术临床对比的Meta分析
- Author:
Shui LIU
;
Jiamo ZHANG
;
Huaming LUO
;
Xuan ZHANG
- Publication Type:Journal Article
- Keywords:
ultrasound;
X-ray;
percutaneous nephrolithotomy;
meta-analysis
- From:
Journal of Regional Anatomy and Operative Surgery
2015;(4):365-369
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical value of ultrasound and X-ray guided percutaneous nephrolithotomy ( PCNL) for treat-ment of kidney calculi. Methods We searched relevant clinical controlled articles in PubMed,EMBASE/Cochrane library and CNKI data-base. The outcome indicators included stone clearance rate, complication rate,puncture time,blood loss,and hospital days. All data were ana-lyzed by Revman 5. 0 software. Results There were 9 articles involved in 1693 patients. The results suggested that there was no significant difference in stone clearance rate between ultrasound group and X-ray group[OR=1. 11,95%CI(0. 83,1. 49),P=0. 47]. However,the complication [OR=0. 43,95%CI (0. 27,0. 69),P=0. 0004],time to puncture[WMD= -4. 54,95%CI( -0. 45,-8. 62),P=0. 03], blood loss[WMD= -22. 77,95%CI( -36. 57,-8. 97),P=0. 001],and hospital days[WMD= -0. 16,95%CI( -0. 28,-0. 03),P=0. 02] were better in ultrasound group than those in X-ray group. Conclusion Ultrasound and X-ray guided PCNL had an equal stone clear-ance rate,but it seemed that ultrasound was better than X-ray in time to puncture and hospital days after operation. However,the results of this meta-analysis should be treated carefully because of limitation of data and heterogeneity.
