Meta-analysis Of The Efficicacy Of The Bridge Repairmen On Vaginal Wall Prolapse

Purpose:This research aim at Meta-analysis of the efficicacy of the difference between the traditional operation and bridge repairmen on vaginal wall prolapseMethods:through Computer retrievaling EMbase 、Cochrane Library、Pub Med、Ovid、CBM、CNKI、WANFANG DATA、VIP。The time of retrievaling Due to the February of 2015,by collecting The contrast of the example of the traditional operation and bridge repairmen on vaginal wall prolapse searching Related journals,and recoursing References which have been incorporated into literature, Then the quality of included trials was accessed,and the data were extracted. A comprehensive meta-analysis was performed by Rev Man 5.2 software.Main Results: A total of 20 clinical research involving 1524 participants were included,799 of them is bridge repairmen,the other 725 is traditional operation.(1)the time of operations in bridge repairmen is shorter than traditional operation.(MD=-13.20,95%CI-16.76~-9.64 P<0.00001,①MD=-10.88,95%CI-19.14~2.61,P=0.01;②MD=-14.66,95%CI-16.36~-12.95,P<0.00001;③MD=-14.57,95%CI-18.05~-11.09 P<0.00001)(2) hemorrhage of the bridge repairmen during operation is lower than the traditional operation.( MD=-21.25, 95 % CI-29.42 ~-13.28 P<0.00001①MD=-24.85,95%CI-44.66~-5.04,P=0.01;②MD=-15.08,95%CI-23.19 ~-6.96, P=0.0003; ③MD=-28.26, 95 % CI-45.88 ~-10.65 P=0.002)(3) complications of the bridge repairmen is less than the traditional operation(MD=019,95 % CI 0.10 ~ 0.36 P<0.00001,①RR=0.16, 95 % CI 0.06 ~ 0.44, P=0. 0003;②RR=0.21,95%CI 0.08~0.52,P=0.0008)(4)The hospital stays of the bridge repairmen is lower than the traditional operation(MD=-1.80,95%CI-4.39~0.79 P=0.17)(5)compared to the traditional operation, the recovery time of bowel motility ofthe bridge repairmen don’t add.(MD=-13.37,95%CI-27.03~0.29 P=0.06)(6) The recurrence rate of the bridge repairmen is lower than the traditional operation( RR=0.12, 95 % CI 0.06 ~ 0.23 P<0.00001,①RR=0.11, 95 % CI 0.02 ~ 0.57 P=0.009;②RR=0.12,95%CI 0.05~0.31 P<0.00001;③RR=0.1,95%CI 0.03~0.37 P=0.0005)Conclusion:compared to the traditional operation on vaginal wall prolapse, the bridge repairmen on vaginal wall prolapse shorten time of operation,cut down hemorrhage during operation、operation complications and recurrence rate...