| 程仲元,白乐,冯友珍,刘晓玲,蔡香然,王晓白.双能CT在体诊断泌尿系统尿酸盐和草酸盐结石的Meta分析[J].中国医学影像技术,2016,32(9):1427~1431 |
| 双能CT在体诊断泌尿系统尿酸盐和草酸盐结石的Meta分析 |
| Dual-energy CT diagnosis of urate calculi and oxalate calculi in vivo: Meta-analysis |
| 投稿时间：2016-03-03 修订日期：2016-05-30 |
| DOI：10.13929/j.1003-3289.2016.09.028 |
| 中文关键词: 体层摄影术,X线计算机 泌尿系结石 成分分析 在体 Meta分析 |
| 英文关键词:Tomography, X-ray computed Urinary calculi Composition analysis In vivo Meta analysis |
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| 中文摘要: |
| 目的 采用Meta分析探讨双能CT对体内尿酸盐结石及草酸盐结石的诊断价值。方法 检索2005年1月—2015年12月中国学术期刊网络出版总库、维普期刊数据库、中国生物医学文献数据库、万方数据库、Cochrane图书馆、web of science、PubMed及Elsevier-SDOL，提取运用双能CT分析体内泌尿系结石成分的相关文献。采用诊断准确性研究的质量评价工具-2对纳入文献进行质量评估，Meta-disc 1.4软件进行Meta分析。结果 纳入中英文文献共12篇。诊断尿酸盐结石汇总敏感度、特异度分别为0.97 、0.99 ；诊断草酸盐结石汇总敏感度、特异度分别为0.99 、0.90 。结论 双能CT诊断体内尿酸盐、草酸盐结石具有较高的敏感度和特异度，有助于指导临床选择治疗方案。 |
| 英文摘要: |
| Objective To explore the diagnostic value of dual-energy CT on the detection of urate calculi and oxalate calculi in vivo with Meta-analysis. Methods Related literatures of in vivo analysis of urinary calculi composition using dual-energy CT were extracted from CNKI, VIP Data, CBMdisc, Wanfang database, Cochrane Library, web of science, PubMed and Elsevier-SDOL from January 2005 to November 2015. The quality of the literatures was assessed with quality assessment of diagnostic accuracy studies-2. Meta-Disc 1.4 software was used for Meta-analysis. Results A total of 12 Chinese and English studies were considered for analysis. The summary sensitivity, specificity of urate calculi were 0.97 (95%CI ), 0.99 (95%CI ) respectively; the summary sensitivity, specificity of calcium oxalate calculi were 0.99 (95%CI ), 0.90 (95%CI ), respectively. Conclusion Dual-energy CT has high sensitivity and specificity in the diagnosis of urate calculi and oxalate calculi in vivo, which is helpful for guiding the choice of stone treatment in clinic. |
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