[1]唐世伟,陈 俊,王忠敏,等.介入栓塞术对比手术治疗有症状子宫肌瘤安全性及有效性的meta分析[J].介入放射学杂志,2015,(03):200-205.
 TANG Shi wei,CHEN Jun,WANG Zhong min,et al.Interventional embolization and surgery for the treatment of symptomatic uterine fibroids: a meta analysis of the safety and effectiveness[J].journal interventional radiology,2015,(03):200-205.
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介入栓塞术对比手术治疗有症状子宫肌瘤安全性及有效性的meta分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年03期
页码:
200-205
栏目:
肿瘤介入
出版日期:
2015-03-25

文章信息/Info

Title:
Interventional embolization and surgery for the treatment of symptomatic uterine fibroids: a meta analysis of the safety and effectiveness
作者:
唐世伟 陈 俊 王忠敏 赵新建
Author(s):
TANG Shi wei CHEN Jun WANG Zhong min ZHAO Xin jian.
Department of Interventional Radiology, First Affiliated Hospital, School of Medicine, Shihezi University, Shihezi, Xinjiang Uygur Autonomous Region 832000, China
关键词:
【关键词】 子宫肌瘤 UAE 手术 系统评价 meta分析
文献标志码:
A
摘要:
【摘要】 目的 系统评价子宫动脉介入栓塞术(UAE)对比手术治疗有症状子宫肌瘤的安全性及有效性。方法 计算机检索The Cochrane Library、PubMed、Embase、Web of Science、CNKI 和Wanfang Data等,检索时限均为从建库至2014 年7 月,查找UAE与手术比较的治疗有症状子宫肌瘤的随机对照试验(RCT),并追溯纳入文献的参考文献。由2 位研究者按照纳入与排除标准独立筛选文献、提取资料并评价质量后,采用RevMan 5.2 软件进行meta分析。结果 最终纳入6个RCT,共732例患者。meta分析结果显示:住院时间和恢复时间UAE较手术治疗子宫肌瘤短;健康相关的生活质量、患者满意度、术中并发症、1年内的主要并发症及肌瘤复发率,两者差异无统计学意义;1年内的次要并发症和需要进一步干预率(2年和5年)差异有统计学意义,UAE比手术发生率高;受孕率和活产率差异有统计学意义,UAE比手术发生率低。结论 与手术相比,UAE具有安全性好、效果佳、操作简便、易护理、创伤小、康复快、易被患者接受等优点,但是有需要接受再次干预治疗的风险。UAE对患者生育能力的影响、不同特性的栓塞剂对UAE疗效的影响及UAE对多发性子宫肌瘤的疗效,都需要进一步研究。

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备注/Memo

备注/Memo:
(收稿日期:2014-08-19)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-03-29