| 依丽娜,福林,杨舒宇.超声弹性成像技术预测自发性早产:Meta分析[J].中国医学影像技术,2021,37(4):568~572 |
| 超声弹性成像技术预测自发性早产:Meta分析 |
| Ultrasonic elastography in predicting of spontaneous preterm birth: Meta-analysis |
| 投稿时间：2020-03-06 修订日期：2021-03-26 |
| DOI：10.13929/j.issn.1003-3289.2021.04.021 |
| 中文关键词: 早产 超声检查,产前 弹性成像技术 荟萃分析 |
| 英文关键词:premature birth ultrasonography, prenatal elasticity imaging techniques meta analysis |
| 基金项目:内蒙古自治区自然科学基金面上项目（kjt15MS8123）、内蒙古医科大学科技百万工程联合项目。 |
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| 中文摘要: |
| 目的 应用Meta分析评价超声弹性成像技术对自发性早产的预测价值。方法 检索PubMed、Cochrane Library、中国知网及万方医学网自1990年1月1日-2020年1月1日收录的超声弹性成像预测早产相关文献，按照纳入及排除标准进行筛选，并评价其质量。采用Meta-disc 1.4软件进行Meta分析。结果 最终纳入9篇文献、共1 755名受试者，超声弹性成像预测早产的合并敏感度、合并特异度、合并阳性似然比、合并阴性似然比、合并诊断比值比及其95%CI分别为0.66[95%CI（0.60，0.71）]、0.78[95%CI（0.75，0.80）]、4.55（[95%CI（1.94，10.67）]、0.36[95%CI（0.21，0.61）]及15.30[95%CI（5.85，39.99）]，综合受试者工作特征曲线下面积（AUC）=0.878 6，Q*=0.809 1。结论 超声弹性成像技术对预测自发性早产有一定价值。 |
| 英文摘要: |
| Objective To explore the value of elastography for predicting preterm labor with meta analysis. Methods PubMed, Cochrane Library, CNKI and Wanfang Med Online were searched from January 1, 1990 to January 1, 2020. The literature on prediction of preterm birth with ultrasonic elastography were screened according to the inclusion and exclusion criteria, and the quality of articles were evaluated. Meta-disc 1.4 software was used for data analysis. Results Nine studies with a total of 1 755 subjects were included. The combined sensitivity, combined specificity, combined positive likelihood ratio, combined negative likelihood ratio, combined diagnostic ratio and 95%CI of ultrasound elastography in predicting spontaneous preterm birth was 0.66 (95%CI[0.60, 0.71]), 0.78 (95%CI[0.75, 0.80]), 4.55 (95%CI[1.94, 10.67]), 0.36 (95%CI[0.21, 0.61]) and 15.30 (95%CI[5.85, 39.99]), respectively, and the area under total receiver operating characteristic curve (AUC) was 0.878 6, Q*=0.809 1. Conclusion Ultrasonic elastography had certain value in predicting preterm birth. |
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