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超声对包括中风在内的神经系统疾病吞咽困难的诊断准确性：一项系统评价和荟萃分析。

Diagnostic accuracy of ultrasound for dysphagia in neurological disorders including stroke: a systematic review and meta-analysis.

作者信息

Yang Liu, Liu Dongxue, Shuang Dai, Shuang Liang, Wang Yujiao, Gao Lan

机构信息

Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin, China.

出版信息

Front Neurol. 2025 Aug 21;16:1534173. doi: 10.3389/fneur.2025.1534173. eCollection 2025.

DOI:10.3389/fneur.2025.1534173
PMID:40917665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12408267/
Abstract

OBJECTIVE

To investigate the diagnostic accuracy of ultrasonography in detecting dysphagia and to compare it with other diagnostic methods.

METHODS

This is a systematic review and meta-analysis of observational studies. The literature was searched in multiple databases, including the Cochrane Central Controlled Trials Registry (a global database of controlled trials); MEDLINE, EMBASE, and Web of Science (biomedical, pharmacological, and multidisciplinary citation databases, respectively); CINAHL (focusing on nursing and allied health research); and Chinese databases including Wanfang Data, CNKI, and VIP (covering academic, scholarly, and scientific-technical literature). Only articles published in the English and Chinese languages were included. Studies were eligible if they compared the accuracy of ultrasound testing with that of other diagnostic methods in dysphagia patients. The Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) criteria (a tool for evaluating bias risk in diagnostic accuracy studies) were used to assess the risk of bias following standard procedures.

RESULTS

We included eight studies involving a total of 538 patients with dysphagia: seven trials for post-stroke dysphagia and one trial for dysphagia in children with cerebral palsy. The combined results showed that the sensitivity and specificity of ultrasound were 0.81 (95% CI 0.73-0.87) and 0.86 (95% CI 0.76-0.93), suggesting that the diagnostic performance of ultrasound is reliable for detecting dysphagia in patients.

摘要

目的

探讨超声检查在诊断吞咽困难方面的准确性，并将其与其他诊断方法进行比较。

方法

这是一项对观察性研究的系统评价和荟萃分析。在多个数据库中进行文献检索，包括Cochrane中央对照试验注册库（一个全球对照试验数据库）；MEDLINE、EMBASE和科学网（分别为生物医学、药理学和多学科引文数据库）；护理学与健康相关研究数据库（CINAHL）；以及中文数据库，包括万方数据、中国知网和维普资讯（涵盖学术、学术和科技文献）。仅纳入以英文和中文发表的文章。如果研究比较了超声检查与其他诊断方法在吞咽困难患者中的准确性，则该研究符合纳入标准。采用诊断准确性研究质量评估（QUADAS-2）标准（一种评估诊断准确性研究中偏倚风险的工具），按照标准程序评估偏倚风险。

结果

我们纳入了八项研究，共538例吞咽困难患者：七项关于中风后吞咽困难的试验和一项关于脑瘫儿童吞咽困难的试验。综合结果显示，超声检查的敏感性和特异性分别为0.81（95%可信区间0.73-0.87）和0.86（95%可信区间0.76-0.93），表明超声检查在检测患者吞咽困难方面的诊断性能可靠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b206/12408267/3af41af610a3/fneur-16-1534173-g011.jpg
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Laryngoscope Investig Otolaryngol. 2023 Oct 9;8(6):1607-1615. doi: 10.1002/lio2.1164. eCollection 2023 Dec.
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Management of swallowing disorders in ICU patients - A multinational expert opinion.重症监护病房患者吞咽障碍的管理——多国家专家意见。
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超声吞咽评估：非侵入性临床实践的综合见解叙述性综述。
Nutrients. 2023 Aug 12;15(16):3560. doi: 10.3390/nu15163560.
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Evaluating medical tests: introducing the Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy.评估医学检验：介绍《Cochrane诊断试验准确性系统评价手册》
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A fully integrated wearable ultrasound system to monitor deep tissues in moving subjects.一种完全集成的可穿戴超声系统，用于监测运动中的深部组织。
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