CTA和DSA对Bühler弓检出率的Meta分析
The detection rate of the arc of Buhler by CTA and DSA:a meta-analysis
计璐耀 1严高武 2李宏伟 3李勇 2赵林伟 2范小萍 2邓建涛 2严静2
作者信息
- 1. 215200 江苏苏州 苏州市第九人民医院医学影像科
- 2. 遂宁市中心医院放射影像科
- 3. 绵阳市第三人民医院放射科
- 折叠
摘要
目的 评价CTA和DSA对Bühler弓(arc of Bühler,AOB)的检出率和临床意义.方法 检索PubMed、Web of Science、Scopus、Embase、Google Scholar、CBM、CNKI、WanFang、VIP、Baidu Scholar 数据库,纳入AOB相关的文献,采用Stata 17.0软件进行Meta分析.结果 共计纳入11篇文献,包括研究对象3 837例(含65 例 AOB).AOB 的总检出率为 1.9％(0.8％～3.2％),CTA 显示 AOB 的总检出率为 2.0％(0.5％～4.3％),DSA显示AOB的总检出率为1.8％(0.5％～3.9％).结论 AOB是一种罕见的解剖学变异,在实施相关腹部手术时应考虑到AOB的存在,以免造成操作困难、腹腔脏器缺血或出血等并发症.
Abstract
Objective To discuss the detection rate of the arc of Bühler(AOB)in CTA and DSA examinations and its clinical significance.Methods A computerized retrieval of academic papers concerning AOB from the databases of PubMed,Web of Science,Scopus,Embase,Google Scholar,CBM,CNKI,WanFang,VIP and Baidu Scholar was conducted.Stata 17.0 software was used to make meta-analysis.Results A total of 11 articles including 3 837 subjects and 65 AOB cases were included in this analysis.The pooled prevalence of AOB was 1.9％(0.8％-3.2％).CTA showed a pooled prevalence of AOB of 2.0％(0.5％-4.3％)and DSA showed a pooled prevalence of AOB of 1.8％(0.5％-3.9％).Conclusion Clinically,AOB is a rarely-seen anatomical variation.The possibility of the presence of an AOB should be considered when performing the relevant abdominal surgery so as to avoid causing operation difficulties and complications such as abdominal visceral organ ischemia or bleeding.(J Intervent Radiol,2024,33:604-609)
关键词
Bühler弓/Buhler弓/CT血管造影/数字减影血管造影/系统评价/Meta分析Key words
arc of Bühler/arc of Buhler/computed tomography angiography/digital subtraction angiography/systematic assessment/meta-analysis引用本文复制引用
基金项目
四川省卫生健康委科研项目(19PJ284)
遂宁市青年科技人才托举工程科研课题(06)
遂宁市中心医院科研项目(2021y09)
遂宁市中心医院科研项目(2022ypj01)
四川省医疗卫生与健康促进会科研项目(KY2023QN0065)
出版年
2024
NETL
NSTL
万方数据