Dissertation > Excellent graduate degree dissertation topics show

Severe Gallstone Pancreatitis Surgical Timing of Meta-analysis

Author: HuZhiLiang
Tutor: HeRuoChong
School: Shanxi Medical
Course: General Surgery
Keywords: Pancreatitis Gallstone Severe Operation time Meta analysis Controlled trial
CLC: R657.51
Type: Master's thesis
Year: 2012
Downloads: 50
Quote: 0
Read: Download Dissertation

Abstract


Objective:To analyze and compare the effect of early surgical treatment and delaysurgery treatment for patients with severe gallstone pancreatitis .Methods:According to the including criteria,twenty controlled clinical trial of thistopic were enrolled into the analysis. The detail about the trial design, characters ofthe subjects and results of the studies were reviewed and analyzed by using RevMan5.1 software.Results:Compared with delay surgical treatment,early surgical treatment was higherincidence of complications(OR=2.37,95%CI:0.99~5.65, P=0.05) and again theoperation rate (OR=5.17,95%CI:1.85~14.45, P=0.002). But mortality(OR=1.88,95%CI: 0.94~3.77, P=0.08) and hospital stay duration(MD=6.49,95%CI:-13.32~26.30, (P=0.52) have no statistically significant. The subgroup analysisindicated that non obstruction type severe gallstone pancreatitis with early surgicaltreatment and delay surgical treatment have no statistically significant in mortality(OR=1.06,95%CI:0.35~3.21, P=0.92),but the former was higher than the latter incomplications scoring(MD=2.00,95%CI:1.00~3.00,P<0.0001);Obstruction typesevere gallstone pancreatitis with early surgical treatment and delay surgical treatmenthave no statistically significant in mortality(OR=0.60,95%CI:0.21~1.70,P=0.34),but the former was higher than the latter in complications scoring(MD=1.37,95%CI:0.51~2.23, P=0.002).Conclusions:The choice of the operation time has the effect of severe gallstonepancreatitis treatment. the combination of delayed and selective surgery is suggested,but for the patient with operation indications,we should consider to surgical treatmenttimely.

Related Dissertations

  1. Professor Zhang Shuwen academic thinking,and 59 cases of Chinese and Western medicine combined with clinical research for diagnosis and treatment of acute pancreatitis,R249.2
  2. Methodology for Linkage-map-based Quantitative Trait Loci Synthesis Analysis,S562
  3. Dual-source CT in the Diagnosis of Coronary Artery Stenosis: a Meta Analysis,R541.4
  4. Malignant Transformation of Ovarian Endometriosis-related Protein Expression in the Meta-Analysis,R711.71
  5. The Study on the Protection of Siverlestat Sodiom on the Severe Brain Injury Rats with Secondary Lung Injury,R651.1
  6. The Changes of Intestinal Barrier Functional in Rats with SAP and the Effection of QingYi Ⅱ,R657.51
  7. Heterogeneity and Meta Analysis of the Essential Hypertension Risk Assessments,R544.1
  8. Association of Interleukin-6 Gene Polymorphisms with Susceptibility to Coronary Heart Disease in Asian Populations: a Meta-analysis,R541.4
  9. The Expression of NE in Lung Tissues and Blood of the Severe Brain Injury and Gastric Juice Aspiration Rats,R651.1
  10. The Clinical Study of ω-3 Polyunsaturated Fatty Acids in Severe Brain Injury Complicated by Lung Infection,R651.1
  11. Effects of Health Education Managment on the Asthma Control: Meta-analysis,R562.25
  12. Application of Freka Trelumina in Treatment of Acute Pancreatitis,R576
  13. Analysis of Death-related Risk Factors in Fulminant Acute Pancreatitis,R657.51
  14. The Effect of Mild Hypothermia Combined with TP-5 to T Lymphocyte Subsets and Prognosis of Patients with Severe Traumatic Brain Injur,R651.15
  15. Elderly patients with acute pancreatitis Clinical characteristics of,R576
  16. Bone marrow mesenchymal stem cells in rats with severe acute pancreatitis CD4 ~ CD25 ~ regulatory T cells influence and Integrative Medicine,R576
  17. Clinical analysis of 978 cases of acute pancreatitis,R576
  18. Patients with decompensated cirrhosis clinical features of gallstone,R575.2
  19. Isoflavone intake and the risk of breast and prostate cancer Meta-analysis,R737.25
  20. Rhubarb , magnesium sulfate treatment of severe acute pancreatitis comparative study of the clinical efficacy,R576
  21. A Meta-analysis of Total Parenteral Nutrition and Early Enteral Nutrition in Patients with Severe Acute Pancreatitis,R576

CLC: > Medicine, health > Surgery > Of surgery > Abdominal surgery > Pancreas > Pancreatitis
© 2012 www.DissertationTopic.Net  Mobile