胸腔镜手术与开胸手术治疗肺隔离症疗效比较的Meta分析

目的 探讨胸腔镜手术与开胸手术治疗肺隔离症的术后疗效。方法 计算机检索 PubMed、EMBASE和CNKI 数据库，收集关于胸腔镜手术与开胸手术治疗肺隔离症的临床研究，检索时限均从建库至2017年8月20日。采用RevMan 5.3 软件进行分析。结果 共纳入5个队列研究，191例患者。Meta分析结果显示：与开胸手术组相比，胸腔镜手术能缩短手术时间、减少术中出血量，但在术后住院时间、术后胸管留置时间、术后胸腔引流量、术后并发症发生率等方面比较差异无统计学意义。结论 胸腔镜手术可以缩短手术时间、减少术中出血量。

Comparison of video assisted thoracic surgery and posterolateral thoracotomy for pulmonary sequestration: a meta analysis

Objective To evaluate the effectiveness of video assisted thoracic surgery (VATS) and thoracotomy for pulmonary sequestration. Methods We searched PubMed， EMBASE， and CNKI up to August 20， 2017 and collected clinic trials involving treatment outcomes of pulmonary sequestration using VATS compared with thoracotomy. The RevMan 5.3 software was used for meta analysis. Results A total of five cohort studies involving 191 patients were included. The results of meta analysis showed that VATS could shorten operative time and reduce volume of intraoperative blood loss compared with thoracotomy. However，no statistically significant difference was found in postoperative hospital stay， chest tube duration， chest drainage amount， and postoperative complications between the two groups. Conclusion VATS could decrease operative time and blood loss.