IOTA简易标准鉴别卵巢良恶性肿瘤的价值

发布时间：2018-04-17 21:43

本文选题：卵巢肿瘤 + 超声检查　；参考：《中国临床医学影像杂志》2015年07期

【摘要】：目的 :评价IOTA简易标准在鉴别卵巢良恶性肿瘤中的价值。资料与方法 :本研究所有患者均为本院2013年1月—2014年11月因卵巢肿物住院患者并均安排手术治疗,所有患者均行超声检查并由第一作者根据IOTA简易标准对肿瘤性质进行评定,所有患者均在1周内完成手术。诊断的金标准是基于病理结果。计算IOTA简易标准诊断的灵敏度、特异度、阳性预测值、阴性预测值、阳性似然比、阴性似然比。结果:总共252例患者中发现卵巢肿物,IOTA简易标准适用于202例(80.2%)包括151例(74.8%)良性肿瘤,51例(25.2%)恶性肿瘤。简易标准对50例(19.8%)无法判断良恶性。在202例可以应用此标准的肿瘤中,灵敏度为81.8%(95%CI:71.6%~92.0%),特异度为95.9%(95%CI:92.6%~99.2%)。结论:IOTA简易标准对鉴别卵巢良恶性肿瘤方面具有较高价值,但是不能适用于所有卵巢肿瘤。
[Abstract]:Objective: to evaluate the value of IOTA standard in differentiating benign and malignant ovarian tumors.Materials and methods: all the patients in our institute were admitted to our hospital from January 2013 to November 2014 because of ovarian neoplasms and surgical treatment was arranged.All patients were examined by ultrasound and evaluated by the first author according to IOTA's simple criteria. All patients underwent surgery within one week.The gold criteria for diagnosis are based on pathological findings.The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of IOTA were calculated.Results: in a total of 252 patients, a simple IOTA standard was found to be suitable for 202 cases (80.2%) including 151 cases of benign tumor (51 cases with benign tumor) and 25.2% of malignant tumor.The simple standard for 50 cases (19.8%) can not be used to judge benign and malignant.In 202 cases of tumors that can be applied to this standard, the sensitivity is 81.8% and the sensitivity is 95%. The sensitivity is 92.0% and the specificity is 95.99.95% CI92.60.The sensitivity is 99.2%.ConclusionThe simple and simple standard of ion IOTA is valuable in differentiating benign and malignant ovarian tumors, but it is not applicable to all ovarian tumors.
【作者单位】：中国医科大学附属盛京医院超声科;
【分类号】：R737.31;R445.1

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