窄带成像能否准确区分高危和低危声带白斑病?系统回顾和荟萃分析

Mina Sarabi Jamab , Arezoo Aghakouchakzadeh , Seied Omid Keyhan , Hosein Rafiemanesh , Ahmadreza Mirzaei , Mina Teimouri Badeleh Dareh
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引用次数: 0

摘要

声带白斑病(VFL)是一种癌前病变,由于需要及时诊断其性质,其治疗仍是一个难题。窄带成像(NBI)似乎有利于评估 VFL。本综述旨在探讨 NBI 在区分低风险和高风险 VFL 方面的诊断准确性。有 13 项研究符合本系统综述的标准,其中 11 项纳入了荟萃分析。NBI 的汇总灵敏度和特异度分别为 78.02 % (95 % CI: 71.64 %-83.31 %) 和 93.70 % (95 % CI: 89.23 %-39.39 %)。总之,NBI 似乎是评估 VFL 病变的一种准确而有用的内窥镜方法。
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Is narrow band imaging accurate to differentiate between high-risk and low-risk vocal fold leukoplakia? A systematic review and meta-analysis

Vocal fold leukoplakia (VFL) is a pre-cancerous lesion that its management is still a therapeutic dilemma due to the need for timely diagnosis of its nature. Narrow band imaging (NBI) seemed to be beneficial to evaluate VFL. The present review aimed to explore the diagnostic accuracy of NBI in differentiating between low-risk and high-risk VFLs.

Thirteen studies met the criteria of this systematic review and 11 of them were included in meta-analysis. The pooled sensitivity and specificity of NBI were 78.02 % (95 % CI: 71.64 %–83.31 %) and 93.70 % (95 % CI: 89.23 %–39.39 %), respectively. Ni 2011 had higher diagnostic accuracy among three main NBI classifications.

In conclusion, NBI appeared to be an accurate and useful endoscopic method for evaluating VFL lesions.

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