中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2009年
11期
1177-1179
,共3页
陆丽明%周伟生%严英%曾婧纯
陸麗明%週偉生%嚴英%曾婧純
륙려명%주위생%엄영%증청순
输卵管阻塞%放射学%介入性%文献计量学
輸卵管阻塞%放射學%介入性%文獻計量學
수란관조새%방사학%개입성%문헌계량학
Fallopian tube obstruction%Radiology,international%Bibliometrics
目的 了解我国输卵管介入再通术治疗输卵管性不孕文献的一般状况.方法 按照循证医学标准,分别按1997至2000年、2001至2004年、2005至2008年3个时间段对不同设计类型文献的一般情况进行分类.由2名评阅者对文献进行质量评价,对评阅者的评价结果进行Kappa检验,检验结果的一致性.参照Jadad评分量表,计算随机对照试验(RCT)和临床对照试验(CCT)文献的Jadad得分.对RCT和CCT中的内容进行描述性分析.结果 纳入临床治疗性文献157篇,其中叙述性研究127篇,RCT和CCT文献30篇,其中RCT文献25篇、CCT文献5篇.2名评价者间Kappa值为0.85,P＜0.05,说明评价的一致性较好.RCT文献中,Jadad量表评分为0分者2篇,1分者15篇,2分者8篇.RCT和CCT纳入与排除标准明确者9篇(30.0%),疗效标准明确者12篇(40.0%),随机方法明确者4篇(13.3%).样本量≥60例者27篇(90.0%),有基线可比性者14篇(46.7%),仅1篇提到采用单盲法(3.3%),交代统计学方法的有17篇(56.7%),交代随访者13篇(43.3%),交代失访者4篇(13.3%),有14篇(46.7%)在推导方面同时考虑了统计学意义和临床意义.结论 我国输卵管介入再通术临床治疗性文献总体研究的质量不高,证据的可信度级别较低,质量上与循证医学标准有一定的差距.
目的 瞭解我國輸卵管介入再通術治療輸卵管性不孕文獻的一般狀況.方法 按照循證醫學標準,分彆按1997至2000年、2001至2004年、2005至2008年3箇時間段對不同設計類型文獻的一般情況進行分類.由2名評閱者對文獻進行質量評價,對評閱者的評價結果進行Kappa檢驗,檢驗結果的一緻性.參照Jadad評分量錶,計算隨機對照試驗(RCT)和臨床對照試驗(CCT)文獻的Jadad得分.對RCT和CCT中的內容進行描述性分析.結果 納入臨床治療性文獻157篇,其中敘述性研究127篇,RCT和CCT文獻30篇,其中RCT文獻25篇、CCT文獻5篇.2名評價者間Kappa值為0.85,P＜0.05,說明評價的一緻性較好.RCT文獻中,Jadad量錶評分為0分者2篇,1分者15篇,2分者8篇.RCT和CCT納入與排除標準明確者9篇(30.0%),療效標準明確者12篇(40.0%),隨機方法明確者4篇(13.3%).樣本量≥60例者27篇(90.0%),有基線可比性者14篇(46.7%),僅1篇提到採用單盲法(3.3%),交代統計學方法的有17篇(56.7%),交代隨訪者13篇(43.3%),交代失訪者4篇(13.3%),有14篇(46.7%)在推導方麵同時攷慮瞭統計學意義和臨床意義.結論 我國輸卵管介入再通術臨床治療性文獻總體研究的質量不高,證據的可信度級彆較低,質量上與循證醫學標準有一定的差距.
목적 료해아국수란관개입재통술치료수란관성불잉문헌적일반상황.방법 안조순증의학표준,분별안1997지2000년、2001지2004년、2005지2008년3개시간단대불동설계류형문헌적일반정황진행분류.유2명평열자대문헌진행질량평개,대평열자적평개결과진행Kappa검험,검험결과적일치성.삼조Jadad평분량표,계산수궤대조시험(RCT)화림상대조시험(CCT)문헌적Jadad득분.대RCT화CCT중적내용진행묘술성분석.결과 납입림상치료성문헌157편,기중서술성연구127편,RCT화CCT문헌30편,기중RCT문헌25편、CCT문헌5편.2명평개자간Kappa치위0.85,P＜0.05,설명평개적일치성교호.RCT문헌중,Jadad량표평분위0분자2편,1분자15편,2분자8편.RCT화CCT납입여배제표준명학자9편(30.0%),료효표준명학자12편(40.0%),수궤방법명학자4편(13.3%).양본량≥60례자27편(90.0%),유기선가비성자14편(46.7%),부1편제도채용단맹법(3.3%),교대통계학방법적유17편(56.7%),교대수방자13편(43.3%),교대실방자4편(13.3%),유14편(46.7%)재추도방면동시고필료통계학의의화림상의의.결론 아국수란관개입재통술림상치료성문헌총체연구적질량불고,증거적가신도급별교저,질량상여순증의학표준유일정적차거.
Obiective To evaluate the current status of studies on interventional recallalization of fallopian tube.Methods According to the standard of evidence-based medicine,literatures were analyzed by two readers in three time periods:1997 to 2000,2001 to 2004 and 2005 t0 2008.Two separate evaluation results were tested by the statistical method Kappa to test its consistency.Scores of clinical controlled trials (CCT)and randomized controlled trials(RCT)were calculated according to Jadad score scale.The accurate criteria of case selection,case exclusion,and effect determination;the method of randomization;the number of samples:the comparability of baseline;the blinded procedure;the therapeutic method;the method of statistical analysis:the follow-up cases; the drop-out cases and the conclusions derivation of RCT and CCT into descriptive analysis were evaluated Results One hundred and fifty seven therapeutic articles were searched and 30 RCT and CCT articles(25 RCT and 5 CCT)were analyzed.The Kappa value was 0.85 and P＜0.05 indicating that the evaluation was in good consistency.2,15 and 8 RCT received 0 point,1 point and 2 points respectively in Jadad score scale.RCT and CCT contained 9 articles(30.0%)fulfilled the accurate criteria of case selection and exclusion:12 articles(40.0%)met the accurate criteria of effect determination:4 articles(13.3%)utilized the definite method of randomization;27 articles (90.0%)had the number of sample beyond 60;14 articles(46.7%)met the baseline comparability;only 1 article(3.3%)used the single-blinded method,17 articles(56.7%)utilized the method of statistical analysis;13(43.3%)mentioned follow-up in articles;4(13.3%)mentioned drop-out cases in the articles and 14(46.7%)articles had the conclusions derived by considering the statistical significance and clinical significance.Conclusion The quality of studies on interventional recanalization of fallopian tube is poor and could not meet the standard of evidence-based medicine.
