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Diagnostic value of ultrasonography for benign and malignant Hashimoto's thyroiditis a Meta analysis |
PENG Kai, ZHOU Ping |
The Third Xiangya Hospital of Central South University,Hunan Changsha 410013 |
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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.
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Received: 08 October 2018
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