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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

Mediastinal Nodal Staging Performance of Combined Endobronchial and Esophageal Endosonography in Lung Cancer Cases: A Systematic Review and Meta-Analysis.

作者信息

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

机构信息

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

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

出版信息

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

DOI:10.3389/fsurg.2022.890993
PMID:35677749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9168235/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/6abed9adbd82/fsurg-09-890993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/6a9796c9db22/fsurg-09-890993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/a1a9c71a8a72/fsurg-09-890993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/8190951ee681/fsurg-09-890993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/6abed9adbd82/fsurg-09-890993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/6a9796c9db22/fsurg-09-890993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/a1a9c71a8a72/fsurg-09-890993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/8190951ee681/fsurg-09-890993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d5/9168235/6abed9adbd82/fsurg-09-890993-g004.jpg

相似文献

[1]
Mediastinal Nodal Staging Performance of Combined Endobronchial and Esophageal Endosonography in Lung Cancer Cases: A Systematic Review and Meta-Analysis.

Front Surg. 2022-5-23

[2]
Combined endobronchial and esophageal endosonography for the diagnosis and staging of lung cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline, in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS).

Endoscopy. 2015-6

[3]
Added value of combined endobronchial and oesophageal endosonography for mediastinal nodal staging in lung cancer: a systematic review and meta-analysis.

Lancet Respir Med. 2016-10-20

[4]
Transbronchial and transesophageal fine-needle aspiration using an ultrasound bronchoscope in mediastinal staging of potentially operable lung cancer.

Chest. 2010-3-26

[5]
Endobronchial ultrasound-guided transbronchial needle aspiration combined with either endoscopic ultrasound-guided fine-needle aspiration or endoscopic ultrasound using the EBUS scope-guided fine-needle aspiration for diagnosing and staging mediastinal diseases: a systematic review and meta-analysis.

Clinics (Sao Paulo). 2020

[6]
Combined endobronchial and endoscopic ultrasound-guided fine needle aspiration for mediastinal lymph node staging of lung cancer: a meta-analysis.

Eur J Cancer. 2013-3-5

[7]
Transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) biopsy: a combined approach in the evaluation of mediastinal lesions.

Endoscopy. 2005-9

[8]
Ultrasound techniques in the evaluation of the mediastinum, part I: endoscopic ultrasound (EUS), endobronchial ultrasound (EBUS) and transcutaneous mediastinal ultrasound (TMUS), introduction into ultrasound techniques.

J Thorac Dis. 2015-9

[9]
Combined endobronchial and endoscopic ultrasound-guided fine needle aspiration for mediastinal nodal staging of lung cancer.

Endoscopy. 2011-10-4

[10]
Endoscopic ultrasound-guided fine needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration: Are two better than one in mediastinal staging of non-small cell lung cancer?

J Thorac Cardiovasc Surg. 2014-10

引用本文的文献

[1]
Is the combination of EBUS and EUS-B in the context of IASLC 9th NSCLC staging a choice or a necessity?

Updates Surg. 2024-10

[2]
Portrayal of video-assisted mediastinoscopic lymphadenectomy's range subsequent to its simultaneous use with uniportal VAT-lobectomy for left-sided NSCLC: a case-based perspective.

J Cardiothorac Surg. 2023-4-17

本文引用的文献

[1]
Differentiation of Reactive Lymph Nodes and Tumor Metastatic Lymph Nodes With 68Ga-FAPI PET/CT in a Patient With Squamous Cell Lung Cancer.

Clin Nucl Med. 2022-5-1

[2]
Role of Endoscopic Ultrasound-Guided Fine-Needle Aspiration in the Evaluation of Abdominal Lymphadenopathy of Unknown Etiology.

Clin Endosc. 2022-3

[3]
A Pilot Study of Transbronchial Biopsy Using Endobronchial Ultrasonography with a Guide Sheath in the Diagnosis of Peripheral Pulmonary Lesions in Patients with Interstitial Lung Disease.

Diagnostics (Basel). 2021-12-4

[4]
Long-term Survival According to N Stage Diagnosed by Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration in Non-small Cell Lung Cancer.

Chest. 2022-5

[5]
Practical approach to linear EUS examination of the mediastinum.

Endosc Ultrasound. 2021

[6]
Dual-Energy CT-Derived Electron Density for Diagnosing Metastatic Mediastinal Lymph Nodes in Non-Small Cell Lung Cancer: Comparison With Conventional CT and FDG PET/CT Findings.

AJR Am J Roentgenol. 2022-1

[7]
The Role of Interventional Endoscopic Ultrasound in Liver Diseases: What Have We Learnt?

Can J Gastroenterol Hepatol. 2021-6-28

[8]
Utility of Elastography for Differentiating Malignant and Benign Lymph Nodes During EBUS-TBNA: A Systematic Review and Meta-analysis.

J Bronchology Interv Pulmonol. 2022-1-1

[9]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

BMJ. 2021-3-29

[10]
Endobronchial ultrasound-guided transbronchial needle aspiration combined with either endoscopic ultrasound-guided fine-needle aspiration or endoscopic ultrasound using the EBUS scope-guided fine-needle aspiration for diagnosing and staging mediastinal diseases: a systematic review and meta-analysis.

Clinics (Sao Paulo). 2020

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