超声引导下粗针穿刺对比细针穿刺在甲状腺结节诊断准确性及安全性的Meta分析

发布时间：2018-05-07 03:31

本文选题：甲状腺结节 + 粗针　；参考：《临床耳鼻咽喉头颈外科杂志》2017年14期

【摘要】：目的:系统评价粗针穿刺(CNB)与细针穿刺(FNAB)在诊断甲状腺结节中的准确性和安全性。方法:计算机检索中国知网(CNKI)、万方数据库、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library、EMBASE、Web of Science数据库(截止日期2017年2月),检索有关CNB与FNAB比较的文献,2位评价员按照纳入与排除标准独立筛选文献、提取资料和评价纳入文献质量,采用RevMan 5.3软件进行Meta分析。结果:共纳入研究19篇;有关诊断准确性比较文献18篇,其中CNB组2 600例,FNAB组2 777例,Meta分析显示CNB组对比FNAB组诊断准确率差异有统计学意义(RR=1.14,95%CI:1.06~1.22,P0.01);术后发生血肿情况共纳入文献2篇,其中CNB组3 050例,FNAB组3 497例,二者差异无统计学意义(RR=0.92,95%CI:0.67~1.25,P0.05)。结论:在熟练掌握穿刺技术情况下,临床中CNB在甲状腺结节诊断中安全可行。
[Abstract]:Objective: to evaluate the accuracy and safety of coarse needle aspiration (CNB) and fine needle puncture (FNAB) in the diagnosis of thyroid nodules. Methods: to search CNKIX, Wanfang database by computer. The Chinese Biomedical Literature Database (CBM) was used to search the Science database. (the deadline for February 2017 is February, 2017. Two evaluators independently sifted the literature according to the inclusion and exclusion criteria, and extracted the data and evaluated the quality of the literature. Meta analysis was carried out with RevMan 5.3 software. Results: a total of 19 articles were included in the study, and 18 articles on diagnostic accuracy were compared. Meta-analysis of 2 777 cases in CNB group showed that there was significant difference in diagnostic accuracy between CNB group and FNAB group. Hematoma was included in 2 articles, including 3 497 cases in CNB group (3 050 cases), and there was no significant difference between CNB group and FNAB group (P 0.05). Conclusion: under the condition of mastering the puncture technique, CNB is safe and feasible in the diagnosis of thyroid nodule.
【作者单位】：遵义市第一人民医院乳腺甲状腺外科;
【分类号】：R581

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