实时超声弹性成像对腮腺结节良恶性诊断价值的Meta分析

发布时间：2018-02-13 01:22

本文关键词： 腮腺肿瘤腮腺疾病结节病超声检查弹性成像技术 Meta分析　出处：《中国医学影像学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的应用Meta分析方法,评价实时超声弹性成像对区分腮腺结节良恶性的诊断价值。资料与方法计算机检索PubMed、Embase、High Wire Press、Ovid、中国学术期刊网全文数据库(CNKI),检索语言为英文和中文,检索至2016年5月31日。选取应用超声弹性评分法鉴别腮腺结节良恶性的文献,采用合并敏感度、合并特异度、阳性似然比、阴性似然比、诊断比值比、综合受试者工作特性曲线评价超声弹性评分法的诊断准确性。结果最终纳入7篇文献,包含449例患者,共计486个结节。超声弹性评分法鉴别腮腺结节良恶性的合并敏感度、合并特异度、阳性似然比、阴性似然比、诊断比值比分别为0.781(95%CI 0.702~0.847)、0.797(95%CI 0.750~0.838)、3.753(95%CI 2.293~6.124)、0.285(95%CI 0.147~0.555)、13.941(95%CI 4.571~42.519)。综合受试者工作特性曲线下面积为0.8638,Q~*指数为0.7944。结论实时超声弹性成像对腮腺结节良恶性的鉴别诊断有一定的价值,可以作为一个辅助工具与传统超声联合使用,提高腮腺结节的诊断准确性。
[Abstract]:Objective to evaluate the value of real-time ultrasound elastography in the diagnosis of benign and malignant parotid nodule by Meta analysis. From May 31st 2016 to May 31st 2016, we selected the literatures that used the ultrasonic elastic scoring method to distinguish benign and malignant parotid nodules. The combined sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic ratio ratio were used to identify the benign and malignant parotid nodules. The diagnostic accuracy of the ultrasonic elastic scoring method was evaluated by synthesizing the operating characteristic curve of the subjects. Results the diagnostic accuracy of the ultrasonic elastic scoring method was included in 7 articles, including 449 patients with 486 nodules. The combined sensitivity of the ultrasonic elastic scoring method in differentiating benign and malignant parotid nodules was analyzed. Combined specificity, positive likelihood ratio, negative likelihood ratio, The diagnostic ratios were 0.78195 CI 0.702 / 0.8702 / 0.79795 / CI 0.750 / 0.838 / 95CI 2.2936.1240.28595 / CI 0.14795 / 0.1470.555CI 0.1470.555CI 0.1470.555CI-4.57142.5191.Conclusion the area under the operating characteristic curve is 0.8638QT * 0.79444.Conclusion it is valuable to differentiate benign and malignant parotid nodule by real time elastography. It can be used as an auxiliary tool combined with traditional ultrasound to improve the diagnostic accuracy of parotid nodule.
【作者单位】：中国医科大学肿瘤医院辽宁省肿瘤医院医学影像科;大连医科大学附属第二医院超声科;
【基金】：辽宁省自然科学基金(201602450)
【分类号】：R445.1;R739.8

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