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中华医学超声杂志(电子版) ›› 2020, Vol. 17 ›› Issue (01) : 39 -45. doi: 10.3877/cma.j.issn.1672-6448.2020.01.008

所属专题: 文献

腹部超声影像学

肾动脉多普勒超声对经皮血管内支架成形术及支架置入术后肾动脉再狭窄的诊断价值:系统综述和Meta分析
张怡璇1, 王亚红1, 王莹1, 李建初1,()   
  1. 1. 100730 中国医学科学院 北京协和医学院 北京协和医院超声医学科
  • 收稿日期:2019-02-25 出版日期:2020-01-01
  • 通信作者: 李建初

Diagnostic value of renal Doppler ultrasound for renal artery restenosis after percutaneous angioplasty and endoluminal stenting: a systematic review and Meta-analysis

Yixuan Zhang1, Yahong Wang1, Ying Wang1, Jianchu Li1,()   

  1. 1. Deprotment of Ultrasonography, Peking Unior Medical College Hospital of the Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2019-02-25 Published:2020-01-01
  • Corresponding author: Jianchu Li
  • About author:
    Corrsponding author: Li Jianchu, Email:
引用本文:

张怡璇, 王亚红, 王莹, 李建初. 肾动脉多普勒超声对经皮血管内支架成形术及支架置入术后肾动脉再狭窄的诊断价值:系统综述和Meta分析[J/OL]. 中华医学超声杂志(电子版), 2020, 17(01): 39-45.

Yixuan Zhang, Yahong Wang, Ying Wang, Jianchu Li. Diagnostic value of renal Doppler ultrasound for renal artery restenosis after percutaneous angioplasty and endoluminal stenting: a systematic review and Meta-analysis[J/OL]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(01): 39-45.

目的

采用Meta分析方法评估肾动脉多普勒超声(RDS)对经皮血管内支架成形术及支架置入术(PTAS)术后肾动脉再狭窄的诊断价值。

方法

在数据库中检索自创刊至2018年12月的国内外文献,将检索得到的文献依照纳入与排除标准进行筛选,对最终纳入的文献进行质量评价和异质性检验,采用Meta分析方法评估RDS对PTAS术后肾动脉再狭窄的诊断价值。

结果

最终纳入6篇合格文献,得到的合并敏感度和特异度分别为92%和89%,合并诊断比值比为83.33,总受试者工作特征曲线(SROC)曲线下面积为0.9542,Q指数为0.8963。

结论

RDS在PTAS术后肾动脉再狭窄中具有较高的诊断准确性和诊断价值。

Objective

To evaluate the diagnostic value of renal duplex sonography (RDS) for renal artery restenosis after percutaneous angioplasty and endoluminal stenting (PTAS) by meta-analysis.

Methods

Domestic and international databases were searched from inception to December 2018 for relevant articles. The retrieved articles were screened according to the inclusion and exclusion criteria, and the quality evaluation and heterogeneity test were carried out. The diagnostic value of RDS for renal artery restenosis after PTAS was evaluated by meta-analysis.

Results

There were six qualified articles included in this meta-analysis. The pooled sensitivity and specificity were 92% and 89%, respectively, and the pooled diagnostic odds ratio was 83.33. The area under the curve (AUC) of the summary receiver operating characteristic (SROC) was 0.9542, and the Q* index was 0.8963.

Conclusion

RDS is highly valuable in the diagnosis of renal artery restenosis after PTAS.

表1 文献的纳入与排除标准
图1 文献检索筛选流程图
表2 纳入文献的基本特征
图2 纳入文献偏倚风险及临床适用性评估图
图3 多普勒超声诊断经皮血管内支架成形术及支架置入术术后肾动脉再狭窄合并诊断比值比森林图。合并诊断比值比为83.33(95%置信区间:42.84~162.08)
图4 彩色多普勒超声诊断经皮血管内支架成形术及支架置入术术后肾动脉再狭窄合并敏感度森林图。合并后的敏感度为92%(95%置信区间:0.87~0.96)
图5 彩色多普勒超声诊断经皮血管内支架成形术及支架置入术术后肾动脉再狭窄合并敏感度森林图。合并后的特异度为89%(95%置信区间:0.85~0.92)
图6 彩色多普勒超声诊断经皮血管内支架成形术及支架置入术术后肾动脉再狭窄合并阳性似然比森林图。合并后的阳性似然比为7.51(95%置信区间:5.43~10.38)
图7 彩色多普勒超声诊断经皮血管内支架成形术及支架置入术术后肾动脉再狭窄合并阴性似然比森林图。合并后的阴性似然比为0.10(95%置信区间:0.06~0.16)
图8 肾动脉多普勒超声诊断经皮血管内支架成形术及支架置入术术后肾动脉再狭窄总受试者工作特征曲线图
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