超声联合IOTA简易标准及Logistic回归模型对卵巢交界性肿瘤预测价值

发布时间：2017-12-28 17:30

本文关键词：超声联合IOTA简易标准及Logistic回归模型对卵巢交界性肿瘤预测价值　出处：《中国超声医学杂志》2016年10期 　论文类型：期刊论文

【摘要】：目的应用彩色多普勒超声检查联合IOTA简易标准、Logistic回归模型(LR2)分析在术前卵巢交界性肿瘤的诊断价值。方法回顾性分析在我院因卵巢肿物住院手术并病理证实为卵巢交界性肿瘤患者142例,共160个肿瘤,所有患者均在术前一周内进行了彩色多普勒超声检查,由有经验医师对肿物声像图表现进行评定,再分别应用IOTA简易标准、LR2对病灶性质进行再次评定。结果 (1)160个肿瘤根据超声声像图诊断为良性肿瘤30个,交界性肿瘤89个,恶性肿瘤41个,超声诊断非良性病灶符合率约81.25%。(2)160个肿瘤应用IOTA简易标准诊断为良性肿瘤33个,恶性肿瘤58个,不确定类型69个,诊断非良性病灶符合率约79.38%。(3)160个肿瘤应用LR2标准诊断为良性肿瘤64个,非良性肿瘤96个,诊断非良性病灶符合率约60.00%。结论彩色多普勒超声检查对于非良性卵巢肿瘤的诊断符合率较高,但是对超声医师的经验有较高要求。IOTA简易标准、LR2对于非良性卵巢肿瘤有较高诊断符合率,可以作为年轻超声医师在预测卵巢良性与恶性肿瘤时的辅助手段。
[Abstract]:Objective to evaluate the diagnostic value of IOTA simple standard and Logistic regression model (LR2) in preoperative diagnosis of borderline ovarian tumors by color Doppler ultrasonography. Methods Retrospective analysis in our hospital for ovarian tumor hospital surgery and pathologically confirmed 142 cases of borderline ovarian tumor patients, a total of 160 tumors, all patients underwent color Doppler ultrasound examination in the week before surgery, by experienced physicians to assess tumor ultrasonographic, we use a simple standard, IOTA LR2 of the lesion properties were assessed again. Results (1) 160 tumors were diagnosed as 30 benign tumors according to ultrasonography, 89 borderline tumors and 41 malignant tumors. The coincidence rate of ultrasound diagnosis of non benign lesions was about 81.25%. (2) 160 tumors were diagnosed as 33 benign tumors with simple IOTA standard, 58 of malignant tumors, 69 indeterminate types and 79.38% for diagnosis of non benign lesions. (3) 64 of the 160 benign tumors were diagnosed as benign tumors with LR2, 96 of non benign tumors and 60% for non benign lesions. Conclusion the diagnostic accuracy of color Doppler ultrasonography is high in the diagnosis of non benign ovarian tumors, but it has high requirements for the experience of ultrasound physicians. IOTA simple standard and LR2 have higher diagnostic coincidence rate for non benign ovarian tumors. It can be used as an assistant method for young ultrasound doctors in predicting benign and malignant ovarian tumors.
【作者单位】：北京大学人民医院妇产科;
【分类号】：R445.1;R737.31
【正文快照】： 卵巢交界性肿瘤(BOT)是组织学特征和生物学行为介于良性与恶性之间的一类卵巢上皮性肿瘤,约占卵巢上皮肿瘤的15%,它表现为细胞增殖、核异型性且不伴有间质侵犯。超声是卵巢肿物术前诊断最常用的方法之一,国际卵巢肿瘤分析组织(inter-national　ovarian　tumor　analysis,IOTA)

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