单侧与双侧股动脉穿刺行子宫动脉栓塞的系统评价

姜英杰; 苏 瑞; 畅智慧; 卢再鸣; 刘兆玉

中国临床医学影像杂志 ›› 2013, Vol. 24 ›› Issue (1) : 23-25.

论著

单侧与双侧股动脉穿刺行子宫动脉栓塞的系统评价

姜英杰1，苏瑞2，畅智慧3，卢再鸣3，刘兆玉3

作者信息 +

Bilateral versus unilateral femoral arterial puncture for uterine artery embolization： a systematic review

JIANG Ying-jie1, SU Rui2, CHANG Zhi-hui3, LU Zai-ming3, LIU Zhao-yu3

Author information +

文章历史 +

摘要

目的：系统评价单侧与双侧股动脉穿刺在行子宫动脉栓塞治疗中的应用价值与安全性。方法：计算机检索Cochrane Library、MEDLINE、EMbase和中国生物医学文献数据库，检索时限为建库至2012年7月。按纳入与排除标准选择文献、评价质量、提取数据。用RevMan 5.0.22软件进行Meta分析。结果：共纳入2篇文献，1篇为随机对照试验，共57例患者，结果双侧股动脉穿刺组较单侧组曝光时间及手术时间明显缩短，但两组在剂量-面积乘积（DAP）上无统计学差异。另1篇为前瞻性非随机对照试验，共24例患者，结果双侧股动脉穿刺组较单侧组曝光时间明显缩短，但两组在手术时间及DAP上无统计学差异。结论：目前证据表明双侧股动脉穿刺行子宫动脉栓塞术可能减少曝光时间并不增加术后并发症。但因纳入研究数量少，论证强度较弱，本研究结果尚需要开展更多高质量随机对照研究来进一步证实。

Abstract

Objective: To assess the efficacy and safety of bilateral and unilateral femoral arterial puncture for uterine artery embolization. Methods: We searched the Cochrane Library, MEDLINE, EMbase, CBM(from inception to Jul. 2012). Clinical controlled trials were identified according to the inclusion and exclusion criteria, and then the quality of included trials was accessed, and the data were extracted. Meta-analysis was performed by RevMan 5.0.22 software. Results: Two studys were included. One study involving 57 participants was randomized controlled trial(RCT), the results showed bilateral puncture procedures had less fluoroscopy time and less procedure time, and there was no difference in dose-area product(DAP). Another study was prospective non-RCT included 24 patients, the results showed that bilateral femoral puncture compared with unilateral shortened fluoroscopy time. Moreover there was no statistical difference in the procedure time and DAP between the two groups. Conclusion: Bilateral femoral arterial puncture may be shortened the fluoroscopic time and do not increase postoperative complications, but no evidence supported bilateral femoral puncture can shortened procedure time and reduced DAP compared with unilateral puncture. However, the evidence is not strong enough because of the low quality of the included studies. Thus, more high-quality RCTs are required in the future.

导出引用

姜英杰;苏瑞;畅智慧;卢再鸣;刘兆玉. 单侧与双侧股动脉穿刺行子宫动脉栓塞的系统评价[J]. 中国临床医学影像杂志. 2013, 24(1): 23-25

JIANG Ying-jie;SU Rui;CHANG Zhi-hui;LU Zai-ming;LIU Zhao-yu. Bilateral versus unilateral femoral arterial puncture for uterine artery embolization： a systematic review[J]. Journal of China Clinic Medical Imaging. 2013, 24(1): 23-25

中图分类号： Ｒ737.33 Ｒ815