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超声血管造影联合细针穿刺对甲状腺结节诊断的影响

Impact of ultrasound angiography combined with fine needle aspiration for the diagnosis of thyroid nodules.

作者信息

Wang Jing, Bai Xiao-Gang, Liu Zhe

机构信息

Department of Endocrine and Metabolism.

Department of Cardiology, Yan'an University Affiliated Hospital, Yan'an, China.

出版信息

Medicine (Baltimore). 2019 Sep;98(39):e17286. doi: 10.1097/MD.0000000000017286.

Abstract

BACKGROUND

This study aims to systematically investigate the impact of ultrasound angiography (UA) combined with fine needle aspiration (FNA) for the diagnosis of thyroid nodules (TNs).

METHODS

The following electronic databases will be searched: MEDLINE, EMBASE, Cochrane Library, PsycINFO, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure. We will search them from their inceptions to the present without language limitations. We will consider all case-controlled studies on investigating the impact of diagnosis UA combined FNA for TNs. We will apply Quality Assessment of Diagnostic Accuracy Studies tool to assess methodological quality for all eligible studies.

RESULTS

In this study, outcomes consist of sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio. All these outcomes will be analyzed to evaluate the diagnostic accuracy of UA combined with FNA for TNs.

CONCLUSION

This study will provide evidence of the diagnostic accuracy of UA combined with FNA for TNs.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42019138884.

摘要

背景

本研究旨在系统调查超声血管造影(UA)联合细针穿刺抽吸(FNA)对甲状腺结节(TNs)诊断的影响。

方法

将检索以下电子数据库:MEDLINE、EMBASE、Cochrane图书馆、PsycINFO、科学网、护理及相关健康文献累积索引、补充与替代医学数据库、中国生物医学文献数据库和中国知网。我们将从各数据库建库起至目前进行检索,无语言限制。我们将纳入所有关于研究UA联合FNA对TNs诊断影响的病例对照研究。我们将应用诊断准确性研究质量评估工具来评估所有符合条件研究的方法学质量。

结果

在本研究中,结局指标包括敏感性、特异性、阳性似然比、阴性似然比和诊断比值比。将对所有这些结局指标进行分析,以评估UA联合FNA对TNs的诊断准确性。

结论

本研究将为UA联合FNA对TNs的诊断准确性提供证据。

系统评价注册

PROSPERO CRD42019138884

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Impact of ultrasound diagnosis for chronic pelvic pain.超声诊断对慢性盆腔疼痛的影响。
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本文引用的文献

1
Evaluation of Thyroid Nodules.甲状腺结节评估。
Surg Clin North Am. 2019 Aug;99(4):571-586. doi: 10.1016/j.suc.2019.04.001. Epub 2019 May 27.
2
Clinical Diagnostic Evaluation of Thyroid Nodules.甲状腺结节的临床诊断评估。
Endocrinol Metab Clin North Am. 2019 Mar;48(1):61-84. doi: 10.1016/j.ecl.2018.11.001.
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Thyroid nodules: diagnosis and management.甲状腺结节:诊断与管理。
Med J Aust. 2018 Jul 16;209(2):92-98. doi: 10.5694/mja17.01204.
4
Thyroid nodule update on diagnosis and management.甲状腺结节诊断与管理的最新进展
Clin Diabetes Endocrinol. 2016 Oct 3;2:17. doi: 10.1186/s40842-016-0035-7. eCollection 2016.
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Thyroid cancer mortality and incidence: a global overview.甲状腺癌的死亡率和发病率:全球概述。
Int J Cancer. 2015 May 1;136(9):2187-95. doi: 10.1002/ijc.29251. Epub 2014 Oct 13.
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Thyroid nodules.甲状腺结节。
Am Fam Physician. 2013 Aug 1;88(3):193-6.

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