The Systematic Review Of Clinical Literature Of Hemorrhoid Treatment With Procedure For Prolapse And Hemorrhoids In China

Objective:To assess the overall level of clinical study of hemorrhoid treatment with Procedure for Prolapse and Hemorrhoids in the research design, efficacy evaluation of the status of respect, problems and the quality of research. To assess the efficacy and safety of Procedure for Prolapse and Hemorrhoids for the Treatment of Hemorrhoid.Method:Using Cochrane systematic method to index CBM(Chinese biomedicine literature)database(2000—2010), VIP Chinese science and Technology periodical database(2000—2010), CNKI full text periodical database(2000—2010), MEDLINE CD database, EMBASE CD database and randomized controlled trial registration database of the Cochrane library by computer system. Manual work indexed reference documents of Chinese magazine and Proceedings about Procedure for Prolapse and Hemorrhoids in order to collect the randomized and semi randomized controlled trial tries the published and unpublished relevant Procedure for Prolapse and Hemorrhoids for the Treatment of Hemorrhoid. According bring into and exclusion standard choosing the doeuments, the methodology quality evaluation standard of recommended by Cochrane operation net, to evaluates the curative effect of Procedure for Prolapse and Hemorrhoids for the Treatment of Hemorrhoid functional ovulation acyesis through the guideline of efficient power,urinary retention inquination,Anal's Zhuichan feeling,pain,ability to control defecation,bleeding,bleeding,dropsy,relapse rate,residual redundant skin,anal or rectal stricture and so on. Bring quality analysis for bring into research through using Revman4.2 software.Results:Indexing out 41 articles Chinese literature totally, according bring into and exclusion standard to bring into 10 experiments that are 1631 example patients at last. Evaluation's guide line is that efficient power is 3 articles;relapse rate is 5; pain rate is 13;urinary retention rate is 12; bleeding rate is 15; ability to control defecation e is 8; Anal's Zhuichan feeling rate is 5; dropsy rate is 5; anal or rectal stricture rate is 8; residual redundant skin rate is 3; inquination rate is 2;Showing as a result through the analysis:efficient power of the Procedure for Prolapse and Hemorrhoids adds operation is RR=3.27, 95%CI[1.15,9.27] (P=0.03); relapse rate is RR=0.23,95%CI[0.06,0.92] (P=0.04);pain rate is RR=0.14,95%CI [0.06,0.32] (P<0.00001); bleeding rate is RR=0.49,95%CI[0.19,1.26] (P=0.14); dropsy rate is RR=0.05, 95%CI[0.01,0.22] (P<0.0001); urinary retention rate is RR=0.57, 95%CI[0.35,0.91] (P=0.02); inquination rate is RR=1.05,95%CI[0.15, 7.58] (P=0.96); Anal's Zhuichan feeling rate is RR=4.30,95%CI[1.15, 16.11] (P=0.03); esidual redundant skin rate is RR=5.15,95%CI[2.31, 11.50] (P<0.001); ability to control defecation e is RR=0.14,95%CI[0.05, 0.29] (P<0.00002); anal or rectal stricture rate is RR=0.05,95%CI[0.02, 0.14] (P<0.00001).Conclusion:There are markedness difference in curative effect by Procedure for Prolapse and Hemorrhoids and conventional hemorrhoidectomy method.Because the collection literature is not high quality and the Proof is not strong enough, it is needed to be approved by the big swatch and the high quality multi-centers controlled trial further by randomized and double blind.