| 双能CT在体诊断泌尿系统尿酸盐和草酸盐结石的Meta分析 |
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| 引用本文： | 程仲元,白乐,冯友珍,刘晓玲,蔡香然,王晓白. 双能CT在体诊断泌尿系统尿酸盐和草酸盐结石的Meta分析[J]. 中国医学影像技术, 2016, 32(9): 1427-1431 |
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| 作者姓名： | 程仲元 白乐 冯友珍 刘晓玲 蔡香然 王晓白 |
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| 作者单位： | 暨南大学附属第一医院医学影像中心, 广东 广州 510630,暨南大学附属第一医院医学影像中心, 广东 广州 510630,暨南大学附属第一医院医学影像中心, 广东 广州 510630,暨南大学附属第一医院医学影像中心, 广东 广州 510630,暨南大学附属第一医院医学影像中心, 广东 广州 510630,暨南大学附属第一医院医学影像中心, 广东 广州 510630 |
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| 摘 要： | 目的 采用Meta分析探讨双能CT对体内尿酸盐结石及草酸盐结石的诊断价值。方法 检索2005年1月—2015年12月中国学术期刊网络出版总库、维普期刊数据库、中国生物医学文献数据库、万方数据库、Cochrane图书馆、web of science、PubMed及Elsevier-SDOL，提取运用双能CT分析体内泌尿系结石成分的相关文献。采用诊断准确性研究的质量评价工具-2对纳入文献进行质量评估，Meta-disc 1.4软件进行Meta分析。结果 纳入中英文文献共12篇。诊断尿酸盐结石汇总敏感度、特异度分别为0.97 、0.99 ；诊断草酸盐结石汇总敏感度、特异度分别为0.99 、0.90 。结论 双能CT诊断体内尿酸盐、草酸盐结石具有较高的敏感度和特异度，有助于指导临床选择治疗方案。
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| 关 键 词： | 体层摄影术,X线计算机 泌尿系结石 成分分析 在体 Meta分析 |
| 收稿时间： | 2016-03-03 |
| 修稿时间： | 2016-05-30 |
Dual-energy CT diagnosis of urate calculi and oxalate calculi in vivo: Meta-analysis |
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| CHENG Zhongyuan,BAI Le,FENG Youzhen,LIU Xiaoling,CAI Xiangran and WANG Xiaobai. Dual-energy CT diagnosis of urate calculi and oxalate calculi in vivo: Meta-analysis[J]. Chinese Journal of Medical Imaging Technology, 2016, 32(9): 1427-1431 |
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| Authors: | CHENG Zhongyuan BAI Le FENG Youzhen LIU Xiaoling CAI Xiangran WANG Xiaobai |
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| Affiliation: | Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China,Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China,Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China,Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China,Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China and Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China |
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| Abstract: | Objective To explore the diagnostic value of dual-energy CT on the detection of urate calculi and oxalate calculi in vivo with Meta-analysis. Methods Related literatures of in vivo analysis of urinary calculi composition using dual-energy CT were extracted from CNKI, VIP Data, CBMdisc, Wanfang database, Cochrane Library, web of science, PubMed and Elsevier-SDOL from January 2005 to November 2015. The quality of the literatures was assessed with quality assessment of diagnostic accuracy studies-2. Meta-Disc 1.4 software was used for Meta-analysis. Results A total of 12 Chinese and English studies were considered for analysis. The summary sensitivity, specificity of urate calculi were 0.97 (95%CI ), 0.99 (95%CI ) respectively; the summary sensitivity, specificity of calcium oxalate calculi were 0.99 (95%CI ), 0.90 (95%CI ), respectively. Conclusion Dual-energy CT has high sensitivity and specificity in the diagnosis of urate calculi and oxalate calculi in vivo, which is helpful for guiding the choice of stone treatment in clinic. |
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| Keywords: | Tomography, X-ray computed Urinary calculi Composition analysis In vivo Meta analysis |
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