Network meta-analysis of fluorescence imaging strategies in the identification of parathyroid glands during thyroid surgery
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 4, Pages: 313-317(2023)
- 作者机构：
1.重庆医科大学研究生院，重庆 400042
2.中国科学院重庆绿色智能技术研究院，重庆 400714
3.中国科学院大学重庆学院，重庆 400714
4.重庆市人民医院乳腺甲状腺外科，重庆 401147
- 作者简介：
- 基金信息：
DOI：10.11659/jjssx.12E022139
CLC： R61Published：25 April 2023，
Received：27 December 2022，
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鲁登伟,殷素鹏,杨泽宇等.荧光显像策略在甲状腺手术中识别甲状旁腺的网状meta分析[J].局解手术学杂志,2023,32(04):313-317.
LU Deng-wei,YIN Su-peng,YANG Ze-yu,et al.Network meta-analysis of fluorescence imaging strategies in the identification of parathyroid glands during thyroid surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):313-317.
鲁登伟,殷素鹏,杨泽宇等.荧光显像策略在甲状腺手术中识别甲状旁腺的网状meta分析[J].局解手术学杂志,2023,32(04):313-317. DOI： 10.11659/jjssx.12E022139.
LU Deng-wei,YIN Su-peng,YANG Ze-yu,et al.Network meta-analysis of fluorescence imaging strategies in the identification of parathyroid glands during thyroid surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):313-317. DOI： 10.11659/jjssx.12E022139.
摘要
目的
2
使用网状meta分析系统性评价甲状腺手术中自体荧光（AF）和吲哚菁绿荧光（ICGF）两种荧光显像策略在甲状旁腺识别中的作用。
方法
2
检索PubMed、Cochrane Library、EMBASE、Web of Science、中国知网数据库，搜集在甲状腺手术中使用甲状旁腺荧光显像策略和裸眼（NE）识别的对照研究，检索截至2022年11月。由2名研究人员独立进行文献检索、筛选、数据提取以及文献质量和偏倚风险评价。使用Stata 16.0对所得文献进行网状meta分析。
结果
2
共检出文献743篇，最终纳入27项研究，包括3 875例患者。网状meta分析表明：在提高甲状旁腺识别率方面，AF>ICGF>NE;在降低甲状旁腺功能减退发生率方面，ICGF>AF>NE;在降低甲状旁腺自体移植率方面，AF>NE>ICGF。
结论
2
不同甲状旁腺荧光显像策略优势不同，但总体都有助于术中甲状旁腺识别，在降低术后甲状旁腺功能减退发生率方面具有重要意义。
Abstract
Objective
2
To evaluate the role of autofluorescence（AF） and indocyanine green fluorescence （ICGF） in parathyroid glands identification during thyroid surgery through network meta-analysis.
Methods
2
PubMed，Cochrane Library，EMBASE，Web of Science，and China National Knowledge Infrastructure databases were searched for controlled studies of fluorescence imaging strategies and naked eye （NE） in parathyroid glands identification during thyroid surgery up to November 2022. Literature search，screening，data extraction，literature quality and bias risk assessment were conducted independently by two researchers. Stata 16.0 was used to conduct a network meta-analysis of the literatures.
Results
2
A total of 743 literatures were detected，and 27 studies were finally included，including 3 875 patients.Network meta-analysis results showed that： in terms of improving the rate of parathyroid glands identification，AF>ICGF>NE； in terms of reducing the incidence of hypoparathyroidism，ICGF>AF>NE；in terms of reducing the rate of parathyroid glands auto-transplantation，AF>NE>ICGF.
Conclusion
2
Different fluorescence imaging strategies for parathyroid glands identification have respective superiorities，they are generally beneficial for intraoperative parathyroid glands identification and are of important significance in reducing the incidence of postoperative hypoparathyroidism.
关键词
甲状旁腺自体荧光吲哚菁绿荧光甲状腺手术网状meta分析
Keywords
parathyroid glandautofluorescenceindocyanine green fluorescencethyroid surgerynetwork meta-analysis
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