输尿管镜碎石术后肾包膜下或肾周血肿危险因素的meta分析

目的:分析输尿管镜术后肾包膜下或肾周血肿的危险因素.方法:通过计算机检索万方、知网、维普、中国生物医学文献数据库、Pubmed、EMbase和Web of Science等数据库.检索从建库至2020年12月所有公开发表的关于输尿管镜术后继发肾包膜下或肾周血肿危险因素的研究文献,采用Revman 5.3软件进行统计分析...

Meta-analysis of risk factors for subcapsular or perirenal hematoma after ureteroscopic lithotripsy

Objective:To analyze the risk factors of subcapsular or perirenal hematoma after ureteroscopy.Methods:Wanfang,CNKI,VIP,CBM,Pubmed,Embase,Web of Science and other databases were searched by computer.All published literature on risk factors of subcapsular or perirenal hematoma secondary to ureteroscopy from the establishment of the database to December 2020was searched,and statistical analysis was performed using Revman 5.3software.Results:According to the uniform inclusion and exclusion criteria,a total of 7pieces of literature were included,all of which were case-control studies.There were 103cases in the hematoma group and 7253cases in the non-hematoma group.Six risk factors were screened out including urinary tract infection(OR=2.04,95%CI:1.75-2.38,P<0.05),hydronephrosis(OR=5.72,95%CI:5.19-6.31,P<0.05),long operation time(MD=9.35,95%CI:6.15-12.55,P<0.05),stone size(MD=3.22,95%CI:2.17-4.27,P<0.05),infectious calculi(OR=3.21,95%CI:1.52-6.77,P<0.05)and female patients(OR=3.14,95%CI:1.78-5.53,P<0.05).Conclusion:Complications of urinary tract infection,hydronephrosis,long operation time,large calculi,infectious calculi and female patients were all risk factors for secondary subcapsular or perirenal hematoma after ureteroscopy.