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超声与螺旋 CT 诊断肠梗阻准确性和实用性的比较:系统评价和荟萃分析方案。

The comparison of accuracy and practicability between ultrasound and spiral CT in the diagnosis of intestinal obstruction: A protocol for systematic review and meta-analysis.

机构信息

Wuwei People's Hospital, Wuwei, Gansu Province, China.

出版信息

Medicine (Baltimore). 2021 Jan 29;100(4):e23631. doi: 10.1097/MD.0000000000023631.

DOI:10.1097/MD.0000000000023631
PMID:33530165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7850774/
Abstract

BACKGROUND

Acute abdominal pain is often caused by intestinal obstruction, with high morbidity, and mortality, so that the early diagnosis is particularly important. Currently, both spiral CT and ultrasound are common imaging diagnostic methods. However, the accuracy and practicality of the diagnosis are controversial. Therefore, the purpose of this study is to systematically evaluate the accuracy and practicality of spiral CT and ultrasound in the diagnosis of intestinal obstruction.

METHODS

Retrieval of English database (PubMed, Embase, Web of Science, the Cochrane Library) and Chinese database (CNKI, WAN FANG, VIP, CBMDISC) by computers. From the establishment of the database to October 2020, a diagnostic experimental study on the diagnosis of intestinal obstruction by ultrasound and spiral CT was conducted. Two researchers independently conducted data extraction and quality evaluation of literature on the included studies, and Meta Disc1.4 and RevMan5.3 were used for meta-analysis on the included literature.

RESULTS

Sensitivity, specificity, po-sitive Likelihood ratio, NE-Gative likelihood ratio, diagnostic odds ratio and other indicators were used to determine the diagnostic efficacy of ultrasound and helical CT.

CONCLUSION

This study is aimed at providing an evidence-based basis for clinicians to choose an appropriate or optimal diagnostic method by comparison of the accuracy and practicality between spiral CT and ultrasound in the diagnosis of intestinal obstruction.

ETHICS AND DISSEMINATION

The private information from individuals will not be published. This systematic review also will not involve endangering participant rights. Ethical approval is not required. The results may be published in a peer-reviewed journal or disseminated in relevant conferences.

OSF REGISTRATION NUMBER

DOI 10.17605/ OSF.IO / Q5RNS.

摘要

背景

急性腹痛常由肠梗阻引起,发病率和死亡率高,因此早期诊断尤为重要。目前,螺旋 CT 和超声均为常见的影像学诊断方法。但诊断的准确性和实用性存在争议。因此,本研究旨在系统评价螺旋 CT 和超声诊断肠梗阻的准确性和实用性。

方法

计算机检索英文数据库(PubMed、Embase、Web of Science、Cochrane Library)和中文数据库(CNKI、WAN FANG、VIP、CBMDISC),检索时限均从建库至 2020 年 10 月。纳入有关超声和螺旋 CT 诊断肠梗阻的诊断性实验研究。由 2 位研究者独立对纳入研究进行文献数据提取和质量评价,采用 Meta Disc1.4 和 RevMan5.3 对纳入文献进行 Meta 分析。

结果

采用敏感度、特异度、阳性似然比、阴性似然比、诊断比值比等指标判断超声和螺旋 CT 的诊断效能。

结论

本研究旨在通过比较螺旋 CT 和超声诊断肠梗阻的准确性和实用性,为临床医生选择合适或最优的诊断方法提供循证依据。

伦理与传播

本研究不会发表个人的隐私信息。本系统评价也不会危及参与者的权利。不需要伦理批准。研究结果可能会发表在同行评议的期刊上或在相关会议上传播。

OSF 注册号:DOI 10.17605/OSF.IO/Q5RNS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646e/7850774/cae8b871a809/medi-100-e23631-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646e/7850774/cae8b871a809/medi-100-e23631-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646e/7850774/cae8b871a809/medi-100-e23631-g001.jpg

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Diagnostics (Basel). 2019 Aug 6;9(3):88. doi: 10.3390/diagnostics9030088.
2
Diagnostic Accuracy and Time-Saving Effects of Point-of-Care Ultrasonography in Patients With Small Bowel Obstruction: A Prospective Study.床边超声检查对小肠梗阻患者的诊断准确性和节省时间的效果:一项前瞻性研究。
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