ADNEX模型对早期鉴别卵巢肿瘤良恶性及分期的临床价值分析

发布时间：2018-05-20 08:29

本文选题：卵巢癌 + ADNEX模型　；参考：《长江大学》2017年硕士论文

【摘要】：背景及目的:探讨ADNEX模型在早期鉴别卵巢肿瘤良恶性及分期的临床价值。方法:以我院收治的136例卵巢癌患者作为研究对象,对其使用ADNEX模型和MRI资料进行回顾性分析。以病理检查结果为金标准,对比分析两种诊断方式的准确性等值。结果:在卵巢肿瘤定性方面:ADNEX模型的准确度为78.70%,灵敏度93.0%,MRI检查的准确性为80.1%,灵敏度为90.7%,两种检查方法各项值对比均无统计学差异(P0.05)。在卵巢肿瘤分期方面,ADNEX模型对良性诊断准确度、灵敏度分别为78.6%、72.0%,交界性诊断准确度、灵敏度分别为86%、50%,I期诊断准确度、灵敏度分别为91.9%、25.0%,II~IV期诊断准确度、灵敏度分别为86.8%、90.9%,转移性肿瘤诊断准确度、灵敏度分别为93.4%、14.3%,在早期诊断方面并无突破;MRI对良性诊断准确度、灵敏度分别为80.1%、75.3%,交界性诊断准确度为95.6%,I期诊断准确度、灵敏度分别为88.2%、62.5%,II~IV期诊断准确度、灵敏度分别为78.7%、81.8%,转移性肿瘤诊断准确度、特异度分别为94.1%、99.2%,ADNEX模型对交界性肿瘤分期的准确度和特异度较MRI检查低,灵敏度较MRI检查高,三项差异均有统计学意义(P0.05),两种检查方法对各分期其他各项检查无统计学差异(P0.05)。结论:ADNEX模型对鉴别卵巢肿瘤良恶性及预测分期具有一定临床价值,早期鉴别仍有欠缺,需进一步研究验证。
[Abstract]:Background and objective: to evaluate the clinical value of ADNEX model in early differentiation of benign and malignant ovarian tumors. Methods: 136 patients with ovarian cancer treated in our hospital were analyzed retrospectively with ADNEX model and MRI data. According to the results of pathological examination as gold standard, the accuracy of the two diagnostic methods was compared and analyzed. Results: in the qualitative aspect of ovarian tumor, the accuracy of the adnex model was 78.70, the sensitivity was 93.0 and the accuracy of MRI was 80.1, and the sensitivity was 90.7. There was no significant difference between the two methods (P 0.05). In the stage of ovarian tumor, the sensitivity of ADNEX model for benign diagnosis was 72.0, that of borderline diagnosis was 861.50 and that of stage I was 91.9 and 25.0 respectively. The sensitivity was 86.8% and 90.9, respectively. The diagnostic accuracy of metastatic tumors was 93.4 and 14.30.There was no breakthrough in the accuracy of MRI in the early diagnosis of benign tumors. The sensitivity was 80.1% 75.3 and the accuracy of borderline diagnosis was 95.6%. The sensitivity was 88.2 and 62.5, and the sensitivity was 78.7 and 81.8, respectively. The diagnostic accuracy and specificity of metastatic tumor were 94.1and 99.2 respectively. The accuracy and specificity of ADNEX model for staging borderline tumors were lower than that of MRI, and the sensitivity was higher than that of MRI. The three differences were statistically significant (P 0.05), and there was no statistical difference between the two methods for the other examinations in each stage. Conclusion the proportion of adnex model has a certain clinical value in differentiating benign and malignant ovarian tumors and predicting stages, but there are still some deficiencies in early differentiation, which need to be further studied and verified.
【学位授予单位】：长江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.31

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