Meta分析超声在桥本甲状腺炎背景下良恶性结节中的诊断价值

doi:10.3969/j.issn.1671-7171.2019.04.013

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摘要 【目的】Meta分析超声在桥本甲状腺炎背景下良恶性结节中的诊断价值。【方法】以超声、桥本甲状腺炎、良恶性结节等为关键词,对近10年间的中英文医学数据库进行检索,获取相关文献,并提取文献的题目、摘要等内容。按照研究的文献筛选标准对获取的文献资料进行筛选,选取符合研究的文献作为研究资料。Meta分析超声在桥本甲状腺炎背景下良恶性结节中的诊断价值。【结果】获取文献168篇,选取14篇作为研究资料,文献入选率为8.3%。高质量文献8篇,低质量6篇。诊断准确性Meta分析显示:OR=2.84,95%CI[2.03,3.98],整体效果检验Z=5.36,P<0.01,菱形位于中间线的右侧;诊断依从性Meta分析结果为OR=4.17,95%CI[2.08,8.34],整体效果检验Z=5.86,P<0.01,菱形位于中间线的右侧;漏诊率Meta分析结果为OR=0.39,95%CI[0.19,0.77],整体效果检验Z=5.26,P<0.01,菱形位于中间线的左侧; 敏感性Meta分析结果为OR=2.14,95%CI[1.09,4.18],整体效果检验Z=5.48,P<0.01,菱形位于中间线的右侧。【结论】超声检查在桥本甲状腺炎背景下的良恶性结节诊断中具有准确率高,漏诊率低,敏感性高及依从率高等优势,值得临床推广应用。

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	彭凯
	周平

关键词 ：甲状腺结节/诊断, 超声检查

Abstract：【Objective】To analyze the value of ultrasonography in the diagnosis of benign and malignant nodules of Hashimoto's thyroiditis. 【Methods】Using ultrasound, Hashimoto's thyroiditis, benign and malignant nodules as the key words, the Chinese and English medical databases in the past 10 years were searched, and the related literatures were obtained, and the titles and abstracts of the literatures were extracted. According to the research literature screening criteria, the obtained literature was screened, and the research literature was selected as the research data. Revman 5.3 software was used for Meta analysis. Analyze and summarize the results and summarize them. 【Results】a total of 168 articles were obtained from the study, and 14 were selected as research materials, and the rate of literature selection was 8.3%. There are 8 high-quality literature and 6 low quality papers. Meta-analysis of diagnostic accuracy showed OR = 2.84, 95% CI[2.03, 3.98], overall effect test Z = 5.36, P<0.01, diamond on the right side of the middle line; diagnostic compliance Meta-analysis showed OR = 4.17, 95% CI[2.08, 8.34], overall effect test Z = 5.86, P<0.01. The diamond shape was on the right side of the middle line, and the missed diagnosis rate was OR=0.39, 95% CI[0.19, 0.77], and the overall effect test Z=5.26, P<0.01. The diamond shape was located on the left side of the middle line, and the sensitivity Meta analysis result was OR = 2.14, 95% CI [1.09, 4.18], and the overall effect test Z = 5.48, P<0.01. Diamond is located on the right side of the middle line. 【Conclusion】Ultrasound in the diagnosis of benign and malignant nodules of Hashimoto's thyroiditis has the advantages of high accuracy, low missed diagnosis rate, high sensitivity and high compliance rate, so it has the value of application and promotion.

Key words： Thyroid Nodule/DI Ultrasonography

收稿日期: 2018-10-08

PACS:

R581.4

通讯作者: E-mail: zhouping1000@hotmail.com

引用本文:

彭凯, 周平. Meta分析超声在桥本甲状腺炎背景下良恶性结节中的诊断价值[J]. 医学临床研究, 2019, 36(4): 660-663.
PENG Kai, ZHOU Ping. Diagnostic value of ultrasonography for benign and malignant Hashimoto's thyroiditis a Meta analysis. JOURNAL OF CLINICAL RESEARCH, 2019, 36(4): 660-663.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.04.013 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I4/660

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