体外冲击波治疗ⅢB型前列腺炎疗效的Meta分析
| 作者: |
1葛劲超,
2朱进
1 苏州市立医院泌尿外科，江苏 苏州 215008 2 苏州大学附属第二医院泌尿外科，江苏 苏州 215004 |
| 通讯: |
朱进
Email: urologist.zhujin@gmail.com |
| DOI: | 10.3978/j.issn.2095-6959.2015.09.017 |
摘要
目的：评价体外冲击波治疗(extracorporeal shock wave therapy，ESWT)治疗ⅢB型前列腺炎的临床有效性，并对临床文献进行质量评价。方法：检索1996年1月至2015年5月中国知网(National Knowledge Infrastructure，CNKI)、万方、PubMed、EMbase、Cochrane Library数据库中有ESWT治疗ⅢB型前列腺炎对照研究的RCT文献，根据纳入和排出标准，筛选合适文献，并用RevMan 5.1软件进行统计分析。结果：共有8篇文献符合纳入标准，共计592例患者，其中治疗组323例，对照组269例。ESWT治疗ⅢB型前列腺炎的总有效率显著高于对照组(OR=18.32，95% CI：4.13~81.33，Z=3.82， P=0.0001)。二者治疗后症状积分相比，差异有显著性，(WMD=–5.08，95% CI：–6.89~–3.28， Z=5.52，P<0.00001)。结论：ESWT治疗ⅢB型前列腺炎的疗效确切，是治疗ⅢB型前列腺炎的有效方法之一。
关键词：
体外冲击波
慢性前列腺炎
临床随机对照试验
系统评价
Meta分析
Efficacy of extracorporeal shock wave therapy on chronic prostatitis ⅢB: Meta-analysis
CorrespondingAuthor: ZHU Jin Email: urologist.zhujin@gmail.com
DOI: 10.3978/j.issn.2095-6959.2015.09.017
Abstract
Objective: To assess the efficacy of extracorporeal shock wave therapy (ESWT) on chronic prostatitis ⅢB, and evaluate the quality of the literatures. Methods: We retrieved all the case-control studies on ESWT for chronic prostatitis ⅢB between January 1996 to May 2015 in National Knowledge Infrastructure (CNKI), Wanfang Data, PubMed, EMbase, and Cochrane database, screened the eligible literature according to the selection and exclusion criteria, and performed meta-analyses of the included studies with the software Revman 5.1. Results: Eight eligible reports were identified in this study, including 323 cases and 269 controls. Meta-analysis showed a significant difference on overall effectiveness between the ESWT and control groups (OR=18.32, 95% CI: 4.13~81.33, Z=3.82, P=0.0001). Also, there is a significant difference of symptom score between the two groups (WMD=–5.08, 95% CI: –6.89~–3.28, Z=5.52, P<0.00001). Conclusion: ESWT exhibited a definite effect for the treatment of chronic prostatitis ⅢB.