ABVS和HHUS鉴别诊断良恶性乳腺肿瘤的meta分析

发布时间：2018-04-02 06:28

本文选题：乳腺肿瘤　切入点：超声　出处：《南京医科大学学报(自然科学版)》2015年11期

【摘要】：目的:运用Meta分析评价自动乳腺全容积成像系统(automated breast volume scanning,ABVS)与手持探头超声(hand-held ultrasound,HHUS)对乳腺良、恶性肿瘤的诊断价值。方法 :采用计算机自动配合手工检索COCHRANE、WEB OF SCIENCE、PUBMED、EMBASE、中文科技期刊全文数据库、中国生物医学文献数据库、中国知网(CNKI)、万方数字化期刊全文数据库(检索时间:建库至2015年3月7日),搜集并筛选出HHUS与ABVS鉴别诊断女性良恶性乳腺肿瘤的文献,应用STATA12.0软件对入选文献的试验数据进行分析。结果 :17篇文献符合纳入标准。ABVS和HHUS合并诊断比值比分别为95.21(53.85~168.36)、28.88(16.15~51.66),合并特异度分别为0.90(0.86~0.93)、0.84(0.78~0.89),合并敏感度分别为0.91(0.88~0.93)、0.84(0.79~0.88)。结论 :ABVS在乳腺良、恶性肿瘤鉴别诊断方面较HHUS具有更高的临床价值。
[Abstract]:Objective: using Meta analysis and evaluation of automated breast volume imaging system (automated breast volume scanning, ABVS) and handheld ultrasound probe (hand-held ultrasound, HHUS) of breast benign and malignant tumor diagnosis. Methods: using computer automatic with manual retrieval COCHRANE, WEB OF SCIENCE, PUBMED, EMBASE, Chinese PSTP, Chinese biomedical literature database, China HowNet (CNKI), Wanfang digital periodical full-text database (retrieval time: up to March 7, 2015), collected and screened the differential diagnosis of HHUS and ABVS in female breast benign and malignant tumor of literature, experimental data of the selected literatures were analyzed by STATA12.0. Results: 17 articles met the inclusion criteria of.ABVS HHUS and diagnostic odds ratios were 95.21 (53.85~168.36), 28.88 (16.15~51.66), and the specificity was 0.90 (0.86~0.93), 0.84 (0.78~0 .89). The combined sensitivity was 0.91 (0.88~0.93) and 0.84 (0.79~0.88) respectively. Conclusion: ABVS has a higher clinical value in differential diagnosis of breast benign and malignant tumors than HHUS.

【作者单位】：东南大学附属中大医院超声诊断科;东南大学公共卫生学院流行病与卫生统计学系;
【基金】：江苏省卫生计生委项目(H201534)
【分类号】：R737.9;R445.1

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