联合支气管内和食管内超声检查对肺癌病例纵隔淋巴结分期的诊断性能：一项系统评价和荟萃分析

Liu Xiaozhen, Yang Kun, Guo Weihong, Ye Muqi, Liu Shaozhong

Department of Ultrasonography, Zhongshan People's Hospital (ZSPH), Zhongshan, China.

Department of Respiratory Medicine, Zhongshan People's Hospital (ZSPH), Zhongshan, China.

Front Surg. 2022 May 23;9:890993. doi: 10.3389/fsurg.2022.890993. eCollection 2022.

By searching lliteratures till January 5, 2022, we evaluated the role of the mediastinal nodal staging of endobronchial ultrasound-guided fine-needle aspiration (EBUS) and endoscopic ultrasound-guided fine-needle aspiration (EUS) in lung cancer. A total of 20 studies with 2,961 patients were included in this study. The pooled sensitivity, specificity, PLR, and NLR for EBUS were 0.79, 0.97, 27.29, and 0.25, respectively. EUS showed staging performance similar to EBUS. The staging performance was significantly improved when combining EBUS + EUS.

通过检索截至2022年1月5日的文献，我们评估了支气管内超声引导下细针穿刺活检（EBUS）和内镜超声引导下细针穿刺活检（EUS）的纵隔淋巴结分期在肺癌中的作用。本研究共纳入20项研究，涉及2961例患者。EBUS的合并敏感度、特异度、阳性似然比和阴性似然比分别为0.79、0.97、27.29和0.25。EUS显示出与EBUS相似的分期性能。联合使用EBUS + EUS时，分期性能显著提高。