超声造影检查在肾脏占位性病变性质判断中的应用  

Application of contrast-enhanced ultrasound in diagnosis of renal occupied lesions

作　　者：张凡[1] 宋烨[1] 李园[1] 葛岚[1] 王秀艳[1] 梁皓[2] 

机构地区：[1]上海同济大学附属同济医院,上海200065 [2]山东省立医院

出　　处：《山东医药》2015年第19期30-32,共3页Shandong Medical Journal

基　　金：山东省医药卫生科技发展计划项目(HW066)

摘　　要：目的系统评价超声造影(CEUS)检查在肾脏占位性病变性质判断中的应用价值。方法检索Pubmed、Embase、Cochrane Library、中国生物医学文献数据库、中国期刊网数据库中应用CEUS检查判断肾占位性病变良恶性的相关文献,使用STATA12.0及Meta-disc软件对纳入的文献数据进行异质性检验,计算其汇总灵敏度、特异度、诊断比值比、阳性似然比和阴性似然比,绘制受检者工作特征曲线(SROC)。结果共纳入14篇文献,CEUS检查判断肾占位性病变性质的汇总灵敏度、特异度、诊断比值比、阳性似然比和阴性似然比分别为0.957、0.748、66.277、3.797和0.057,SROC曲线下面积为0.96。结论应用CEUS检查判断肾脏占位性病变性质的漏诊率较低,而误诊率相对偏高,汇总敏感性的变化范围较小。Objective To evaluate the application value of contrast-enhanced ultrasound （ CEUS） in the diagnosis of renal occupied lesions systematically.Methods The related literatures which used CEUS in the diagnosis of renal occu-pied lesions were searched from Pubmed, Embase, Cochrane Library, CBM and CNKI database.The heterogeneity test was conducted on these literatures by using Stata 12.0 and Meta-disc software.The weighted sensitivity, specificity, diagnosis odds ratio, positive likelihood ratio and negative likelihood ratio were calculated as well as the summary receiver operating characteristic （ SROC） curve.Results Fourteen literatures were included, the weighted sensitivity, specificity, diagnostic odds ratio, positive likelihood ratio and negative likelihood ratio were 0.957, 0.748, 66.277, 3.797 and 0.057, respec-tively;and the SROC curve was 0.96.Conclusion Using CEUS has a low missed diagnosis rate, an relative high misdi-agnosis rate and small range of summary sensitivity in the differential diagnosis of renal occupied lesions.

关 键 词：肾脏疾病 肾肿瘤 超声造影检查 肿瘤性质 

分 类 号：R737.11[医药卫生—肿瘤]