中国实用内科杂志2018，Vol.38Issue(4)：358-363,6.DOI:10.19538/j.nk2018040113
磁控胶囊胃镜和传统胃镜诊断效能的Meta分析和系统回顾
Comparison of diagnostic accuracy between magnetically controlled capsule gastroscopy and conventional gastroscopy: a meta analysis and system review.
朱佳慧 1陈文晓 2茹楠 1钱阳阳 1廖专 1李兆申1
作者信息
- 1. 海军军医大学附属长海医院消化科,上海 200433
- 2. 台州市第一人民医院消化内科,浙江 台州 318000
- 折叠
摘要
Abstract
Objective This study aims to evaluate the difference between Magnetically Controlled Capsule Gastroscopy and Traditional Gastroscopy in the detectability of gastric diseases, adverse events and examination time. Methods Articles related to the Magnetically Controlled Capsule Gastroscopy, published until November 2017, were retrievaled in the databases including PubMed, Cochrane library, Medline, VIP Chinese Science and Technology Periodical Database, China Knowledge Source Database (CNKI), Wanfang Data Resource Library and China Biomedical Literature Database.We evaluated articles based on QUADAS scale and extracted data including positive detection rate, examination time and adverse events. RevMan5.3 software and Meta-disc1.4 software were applied for data analysis, forest map and SROC curve presentation. Results After deleting duplicate articles and searching trials about MCCG and traditional gastroscopy, 9 studies with 626 patients were retained for analysis. Four studies were brought into detection rate analysis. The pooled sensitivity was 0.94 (95％CI: 0.9-0.97), pooled specificity was 0.73(95％CI: 0.51-0.89), positive likelihood ratio was 3.1(95％CI:1.65-5.38), negative likelihood ratio was 0.09(95％CI: 0.04～0.21)and the SROC area under the curve (AUG) was 0.9718,Q=0.9228. No statistical difference existed between Magnetically controlled Capsule Gastroscopy and Traditional Gastroscopy in detectability of gastric diseases. Inaddition, less patients reported adverse events, pain and discomfort during MCCG examination. However, the examination time of MCCG was significantly longer than that of conventional gastroscopy. Conclution Compared with conventional gastroscopy, Magnetically controlled Capsule Gastroscopy is a promising modality for gastric examination with comparable detability of gastric diseases and lower sdverse events.关键词
磁控胶囊胃镜/传统胃镜/Meta分析/灵敏度和特异度/不良反应/检查时间Key words
magnetically controlled capsule gastroscopy/traditional gastroscopy/meta analysis/sensitivity and specificity/adverse reactions/examination time分类
医药卫生引用本文复制引用
朱佳慧,陈文晓,茹楠,钱阳阳,廖专,李兆申..磁控胶囊胃镜和传统胃镜诊断效能的Meta分析和系统回顾[J].中国实用内科杂志,2018,38(4):358-363,6.
