兰州大学机构库 >学院待认领
多层螺旋CT对冠状动脉支架内再狭窄诊断价值的meta分析
Alternative TitleMSCT for coronary artery stent restenosis of diagnostic value :a meta analysis
徐生芳
Thesis Advisor郭顺林
2014-05-27
Degree Grantor兰州大学
Place of Conferral兰州
Degree Name硕士
Keyword支架 再狭窄 多层螺旋CT(≥128层) 诊断 Meta分析
Abstract目的 系统评价多层螺旋CT(128层及以上)诊断冠状动脉支架内再狭窄的价值。方法 计算机检索建库至2013年9月Pubmed,Embase,Cochrane library,web of science,CNKI,CBM,万方数字化期刊,维普数字化期刊数据库,查询MSCT(≥128层)在诊断冠状动脉支架内再狭窄研究的中、英文文献。对纳入文献进行质量评估,计算多层螺旋CT(≥128层)诊断冠状动脉支架内再狭窄灵敏度(SE)、特异度(SP)及其95%可信区间(CI),绘制及计算受试者工作特征曲线(SROC)和曲线下面积(AUC)。结果 共纳入12篇文献。基于支架分析,多层螺旋CT(≥128层)诊断冠状动脉支架内再狭窄的合并灵敏度为0.90(95%CI:0.82-0.94),特异度为0.91(95%CI:0.89-0.93),AUC为0.95。亚组分析320层MSCT诊断诊断冠状动脉支架内再狭窄的敏感度和特异度0.93(95%CI:0.85-0.97)和0.95(95%CI:0.89-0.98)。结论 多层螺旋CT(≥128层)对评价冠状动脉支架内再狭窄具有较高的价值,是临床随访的一种有效且无创的检查方法。
Other AbstractObjective To review the diagnostic value of MSCT(≥128-slice) to stent restenosis of coronary artery. Methods Since building a database computer searches to September 2013 Pubmed, Embase, Cochrane library, web of science, CNKI, CBM,Wan Fang Digital Periodicals , VIP Digital Periodicals Database .The Chinese and English documents on value of MSCT(≥128-slice) to stent restenosis of coronary artery were searched, and the quality of the documents was assessed.The sensitivity(SE),specificity(SP) and 95% CI of MSCT(≥128-slice) to stent restenosis of coronary artery were calculated, and summary receiver operating characteristic(SROC) curve and area under curve(AUC) were drawn and calculated. Results There were 12 documents included.Based on stent analysis,the merger SE of MSCT(≥128-slice) to stent restenosis of coronary artery was 0.90(95%CI:0.82-0.94),SP was 0.91(95%CI:0.89-0.93)and AUC was 0.95. Subgroup analyzes 320-slice MSCT diagnosis of coronary artery stent restenosis , the sensitivity and specificity were higher than the 256 -slice MSCT. Conclusion MSCT (≥128-slice ) on the evaluation of coronary stent restenosis has a high value, is the clinical follow-up of an effective and non-invasive screening method.
URL查看原文
Language中文
Document Type学位论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/223617
Collection学院待认领
Affiliation临床医学院
Recommended Citation
GB/T 7714
徐生芳. 多层螺旋CT对冠状动脉支架内再狭窄诊断价值的meta分析[D]. 兰州. 兰州大学,2014.
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