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放大内镜结合窄带成像技术评估早期食管癌浸润深度价值的 Meta 分析

李婷园 张烁

中国内镜杂志2016,Vol.22Issue(9):1-5,5.
中国内镜杂志2016,Vol.22Issue(9):1-5,5.DOI:10.3969/j.issn.1007-1989.2016.09.001

放大内镜结合窄带成像技术评估早期食管癌浸润深度价值的 Meta 分析

Accuracy of magnifying endoscopy with narrow-band imaging for detecting early esophageal cancer invasion depth:a meta-analysis

李婷园 1张烁1

作者信息

  • 1. 浙江中医药大学附属第一医院 消化科,浙江 杭州 310000
  • 折叠

摘要

Abstract

Objective To evaluate the accuracy of magnifying endoscopy with narrow-band imaging (ME-NBI) for detecting early esophageal cancer invasion depth. Methods We searched Embase, Pubmed, Web of Science, Cochrane Library, CBM, CNKI, Wanfang and VIP databases from inception to Feb.2016. Domestic articles related to the accuracy of ME-NBI detecting the early esophageal cancer invasion depth were collected comprehensively. The quality of the papers was evaluated by quality assessment of diagnostic accuracy studies (QUADAS). Data analysis was conducted by Stata 12.0 software. Results Seven group data from six studies including 319 patients with 366 lesions met the inclusion criteria. The pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, SROC area under the curve and DOR were 93.8 % (95 % CI: 0.886~0.967), 75.2 % (95 % CI: 0.658~0.827), 3.779 (95 % CI: 2.685 ~ 5.318), 0.083 (95 % CI: 0.044~0.155), 0.80 (95 % CI: 0.770~0.840) and 45.658 (95 % CI:21.006~99.240). Conclusions The results suggest that ME-NBI may be an effective tool for detecting invasion depth of early esophageal cancer, which plays an important role in clinical selection of surgical approach and treatment.

关键词

放大内镜/窄带成像/早期食管癌/浸润深度

Key words

magnifying endoscopy/narrow band imaging/early esophageal cancer/invasion depth

分类

医药卫生

引用本文复制引用

李婷园,张烁..放大内镜结合窄带成像技术评估早期食管癌浸润深度价值的 Meta 分析[J].中国内镜杂志,2016,22(9):1-5,5.

基金项目

浙江省医药卫生平台计划 ()

中国内镜杂志

OA北大核心CSTPCD

1007-1989

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