| Objective:To compare the efficacy and safety of holmium:YAG laser lithotripsy(LL) and Pneumatic Lithotripsy(PL) for the treatment of distal Ureteral Calculi th-rough a Meta Analysis. Methods:A online search of China Biological Medicine disk, PubMed, PQDT, Cochrane Library,Springerlink,Medline,and Embase databases was performed from march1999to December2013.In addition, we hand-based searched Chinese Journal of Urology,and China Journal of Endoscopy,and Chinese Journal of Clinicians,and Journal of Moddern Clinical Medicine and Reconstructive Surgery for clinical about the comparison of holmium laser lithotripsy and ureteroscopy Pneumatic ballistic lithotripsy for lower ureteral Calculi. The selected trails were s-creened out according to the criterion of inclusion and exclusion, and quality was evaluated. RevMan5.1.5software (Cachrane Library) was used for Meta analysis. The following indexes were used to compare the results:mean operative time, early stone free rate, stone migration rate, ureteral perforation, postoperative hematuria rate and retaining JJ catheter rate.Results and conclusion:A total of29tudies were scant, and4independent studies were finally recruited. Holmium:YAG laser lithotripsy conveyed significant benefits compared with Pneumatic Lithotripsy in mean operative time [WMD=-16.38,95%CI(-20.29,-12.47), P <0.00001],stone migration incidence[OR=0.25,95%CI(0.10,0.63), P=0.003],retaining double-J catheter rate[OR=0.44,95%CI(0.25,0.78), P=0.004],but not yet in the terms of early stone-free rate, postoperative hematuria rate and the ureteral perforation rate according to this meta-analysis. Because of the lack of prospective articles and small sample size, large-sized randomized controlled studies are urgently needed to provide evidence. |
PDF Full Text Request