多层螺旋计算机断层扫描（MDCT）在小肠梗阻患者中的诊断意义：一项荟萃分析。
Diagnostic significance of multidetector computed tomography (MDCT) in patients with small bowel obstruction: a meta-analysis.
作者信息
Zhou Jie, Cong Ruochen, Shi Jianhua, Chen Feixiang, Zhu Jianfeng, Xiao Jing, Sheng Meihong, Yang Jushun, He Bosheng
机构信息
Department of Radiology, Affiliated Hospital 2 of Nantong University, No. 6 Hai Er Xiang North Road, Nantong, 226001, Jiangsu, China.
Department of Biochemistry, Nantong University Medical School, Nantong, 226019, Jiangsu, China.
出版信息
Jpn J Radiol. 2020 May;38(5):458-462. doi: 10.1007/s11604-020-00923-7. Epub 2020 Mar 18.
PURPOSE
To assess the diagnostic value of multidetector computed tomography (MDCT) in small bowel obstruction (SBO) patients.
METHODS
Relevant literature was searched from the Cochrane Library, Pubmed and Embase. The extracted effective data was calculated using the Meta-Disc 1.4 software; statistical heterogeneity was evaluated using Cochran's Q test and I.
RESULTS
A total of five articles were selected for the meta-analysis. In addition, the pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), as well as the diagnostic odds ratio (DOR) were 0.878 (95% CI 0.822-0.921), 0.807 (95% CI 0.753-0.854), 8.137 (95% CI 2.268-29.192), 0.127 (95% CI 0.040-0.4078) and 72.384 (95% CI 10.841-483.31), respectively. Furthermore, the AUC was 0.9648 with the Q of 0.9116.
CONCLUSIONS
The data suggest that MDCT is an effective method for diagnosis of SBO.
目的
评估多排螺旋计算机断层扫描（MDCT）在小肠梗阻（SBO）患者中的诊断价值。
方法
从Cochrane图书馆、Pubmed和Embase检索相关文献。使用Meta-Disc 1.4软件计算提取的有效数据；使用Cochran's Q检验和I评估统计异质性。
结果
共选择5篇文章进行荟萃分析。此外，汇总的敏感性、特异性、阳性似然比（PLR）、阴性似然比（NLR）以及诊断比值比（DOR）分别为0.878（95%CI 0.822 - 0.921）、0.807（95%CI 0.753 - 0.854）、8.137（95%CI 2.268 - 29.192）、0.127（95%CI 0.040 - 0.4078）和72.384（95%CI 10.841 - 483.31）。此外，AUC为0.9648，Q为0.9116。
结论
数据表明MDCT是诊断SBO的有效方法。
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