Morphine‐augmented hepatobiliary scintigraphy: A meta‐analysis

Morphine‐augmented hepatobiliary scintigraphy: A meta‐analysis
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吗啡增强肝胆闪烁扫描:荟萃分析

DOI:
10.1097/00006231-199512000-00013
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发表时间:
1995
影响因子:
1.5
通讯作者:
Sankey V. Williams
Sankey V. Williams
中科院分区:
医学4区
文献类型:
--
作者:
M. Cabana;A. Alavi;J. Berlin;Judy A. Shea;Judy A. Shea;C. Kim;Sankey V. Williams;Sankey V. Williams

文献摘要

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摘要本研究的目的是比较吗啡增强肝胆闪烁扫描(MA-HBS)与传统肝胆闪烁扫描(C-HBS)对急性胆囊炎的敏感性和特异性。大多数 MA-HBS 研究的结果无法与 C-HBS 估计值进行比较,因为描述 C-HBS 的文章通常包括非 MA-HBS 候选者。然而,使用荟萃分析技术结合合格研究的数据(C-HBS 4 项,MA-HBS 5 项),MA-HBS 的特异性(0.84;95% CI = 0.75–0.94)显着高于(P = 0.008)C-HBS(0.68;95% CI = 0.61–0.75);敏感性没有差异(MA-HBS:0.96,95% CI = 0.92-0.99;C-HBS:0.97,95% CI = 0.97-0.99)。
SummaryThe aim of this study was to compare the sensitivity and specificity of morphine-augmented hepatobiliary scintigraphy (MA-HBS) with that of conventional hepatobiliary scintigraphy (C-HBS) for acute cholecystitis. The results of most MA-HBS studies cannot be compared with C-HBS estimates, since articles describing C-HBS often include non-candidates for MA-HBS. However, using meta-analytic techniques to combine data from eligible studies (4 for C-HBS and 5 for MA-HBS), the specificity of MA-HBS (0.84; 95% CI = 0.75–0.94) was significantly greater (P = 0.008) than that of C-HBS (0.68; 95% CI = 0.61–0.75); there were no differences in sensitivity (MA-HBS: 0.96, 95% CI = 0.92–0.99; C-HBS: 0.97, 95% CI = 0.97–0.99).