超声造影对肾脏肿瘤射频消融术后疗效评估价值的Meta分析

发布时间：2018-01-11 13:46

本文关键词：超声造影对肾脏肿瘤射频消融术后疗效评估价值的Meta分析　出处：《临床超声医学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的系统评价超声造影对肾脏肿瘤射频消融术疗效评估的价值。方法计算机检索Pubmed、Embase、Cochrane library、中国生物医学文献数据库、CNKI数字图书馆、万方、维普,以及Google、百度等商业搜索引擎网上检索,收集有关术中超声造影与金标准(病理)比较诊断肾脏射频消融术后残留的诊断性试验(截至2015年11月31日)。按照纳入和排除标准筛选文献、提取资料并根据诊断性试验准确性质量评价工具评价质量后,采用Meta-Disc 1.4软件进行Meta分析。结果最终共纳入4篇文献,质量中等。随机效应模型Meta分析结果显示:合并敏感性、特异性、阳性似然比、阴性似然比及诊断比值比分别为0.83[95%CI(0.61~0.95)]、0.97[95%CI(0.93~0.99)]、19.52[95%CI(5.71~66.73)]、0.23[95%CI(0.11~0.47)]及132.14[95%CI(26.56~657.41)];综合受试者工作特征曲线下面积为0.92±0.11。结论超声造影对肾脏射频消融术后疗效评价具有较高的诊断价值。
[Abstract]:Objective to evaluate the value of contrast-enhanced ultrasound in evaluating the efficacy of radiofrequency ablation of renal tumors. Methods Pubmedmedus Embase Cochrane library was searched by computer. China Biomedical Literature Database CNKI Digital Library, Wan Fang, Weip, as well as Google, Baidu and other commercial search engines online search. To collect the diagnostic tests of intraoperative contrast-enhanced ultrasonography and gold standard (pathology) for the diagnosis of residual renal radiofrequency ablation (as of November 31st 2015). To screen the literature according to the inclusion and exclusion criteria. After extracting the data and evaluating the quality according to the diagnostic test accuracy quality evaluation tool, the Meta analysis was carried out with Meta-Disc 1.4 software. The results were included in 4 articles. The results of Meta analysis of random effect model showed that the combination sensitivity, specificity, positive likelihood ratio, negative likelihood ratio and diagnostic ratio were 0.83, respectively. [95 CIQ 0.61 0. 95) [0. 97]. [95 CIQ 0.93 0.99) [19.52]. [[95 CIQ 5.71 66.73] 0.23. [95 CIQ 0.11 0.47) and 132.14. [(95) CII 26.56 (657.41); The area under the operating characteristic curve was 0.92 卤0.11.ConclusionContrast-enhanced ultrasonography has a high diagnostic value in evaluating the curative effect of renal radiofrequency ablation.
【作者单位】：新疆医科大学第一附属医院腹部超声诊断科;新疆医科大学第一附属医院放射科;
【分类号】：R445.1;R737.11
【正文快照】： 目前肾脏肿瘤的治疗以外科手术为主,包括肾脏全切术、部分肾脏切除术及肿瘤的剜除术等,一般采用开放式手术或腹腔镜微创术,但因其术后创伤大,预后欠佳,对于肾癌晚期、多发肾肿瘤、双侧或孤立性肾肿瘤患者及身体机能极差患者并不适用。应用射频消融治疗可以减少患者的术后创伤

【相似文献】