CAJ | 학술논문

目的：使用Meta分析探讨CT对肾囊性病变的诊断价值。方法以“CT、cystic、renal mass、囊性肾癌、肾囊性病变”等为关键词，检索Cochrane图书馆、OVID、PubMed、Embase、中国知网、万方数据服务平台数据库中的文献资料。使用循证医学方法，对纳入的文献数据进行异质性检验，计算汇总灵敏度和特异度，建立受检者工作特征曲线(SROC)，通过曲线下面积评估CT诊断肾囊性肿块的价值，并采用QUADAS标准进行文献质量评价。结果经检索总共纳入4篇文献，其中1篇为中文，3篇为英文。按照随机效应模型汇总，其汇总灵敏度和特异度分别为85%、66%，SROC曲线下面积为0.8344。结论 CT对肾囊性病变具有较好的诊断和临床应用价值。
목적：사용Meta분석탐토CT대신낭성병변적진단개치。방법이“CT、cystic、renal mass、낭성신암、신낭성병변”등위관건사，검색Cochrane도서관、OVID、PubMed、Embase、중국지망、만방수거복무평태수거고중적문헌자료。사용순증의학방법，대납입적문헌수거진행이질성검험，계산회총령민도화특이도，건립수검자공작특정곡선(SROC)，통과곡선하면적평고CT진단신낭성종괴적개치，병채용QUADAS표준진행문헌질량평개。결과경검색총공납입4편문헌，기중1편위중문，3편위영문。안조수궤효응모형회총，기회총령민도화특이도분별위85%、66%，SROC곡선하면적위0.8344。결론 CT대신낭성병변구유교호적진단화림상응용개치。
Objective To evaluate the diagnostic value of Computed Tomography in the study of cystic renal masses by meta-analysis. Methods CT, contrast-enhanced CT, cystic renal masses were selected as the keywords. A collection in the Cochrane library, PubMed, Embase, CNKI and the WANFANG DATA was performed to search the original data. The weighted sensitivity and specificity were calculated, as well as the summary receiver operating char-acteristic (SROC) curve. Further estimate of the diagnostic value of Computed Tomography in the research of cystic renal masses was performed by calculating the area under the curve. The quality of evidence in researches was as-sessed by the standard of QUADAS. Results A total of 4 literatures were adopted for meta-analysis, including one Chinese papers and three English articles. According to the random effects model, the weighted sensitivity and speci-ficity were 85%and 66%, respectively, and the area under the curve was 0.8344. Conclusion Computed Tomogra-phy technology has a good diagnostic and clinical value in the research of cystic renal masses.