超声波在急性胆囊炎的诊断性能:一个系统的审查和元分析
Sih-Shiang Huang1, Kai-Wei Lin1, Kao-Lang Liu2,3
1Department of Emergency Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
World journal of emergency surgery : WJES
|December 1, 2023
概括
超声波 (US) 是有效的诊断急性胆囊炎 (AC). 紧急医生执行的美国显示诊断性能与放射科医生相美,有助于AC诊断.
科学领域:
- 医疗成像医学成像
- 诊断的准确性 诊断的准确性
- 胃肠病学 胃肠病学
背景情况:
- 需要对超声波 (US) 用于诊断急性胆囊炎 (AC) 的最新概述.
- 本系统性审查评估了US对AC的诊断性能.
研究的目的:
- 评估超声波对急性胆囊炎的诊断准确性.
- 为了比较超声波在不同医学专业的AC诊断中的性能.
主要方法:
- 在2023年8月之前发表的40项研究 (8,652名患者) 的系统综述和元分析.
- 搜索了MEDLINE,Embase和Cochrane图书馆,使用关键词与床边/紧急情况/护理中心美国和AC相关.
- 使用 QUADAS-2 工具评估研究质量,但不包括病例报告,社论,评论和关于无计算性胆囊炎的研究.
主要成果:
- 超声波显示AC诊断的综合灵敏度为71%和特异性为85%.
- 诊断性能在急诊医生 (71%的灵敏度,92%的特异性),外科医生 (79%的灵敏度,76%的特异性) 和放射科医生 (68%的灵敏度,87%的特异性) 中是相似的.
- 大多数纳入的研究具有偏差和适用性担忧的低风险.
结论:
- 超声波是诊断急性胆囊炎的有价值的成像方法.
- 美国的紧急医生提供的诊断性能与放射科医生的诊断性能相当.
- 需要进一步的研究来探索美国对患者管理和结果的影响.
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