IOTA超声简易标准评估卵巢肿瘤良恶性的临床应用价值  

The clinical value of IOTA simple rules in evaluating benign and malignant ovarian tumors

作　　者：高玉伟[1] 顾莉莉[1] 罗平[1] GAO Yuwei;GU Lili;LUO Ping(Department of Ultrasound Diagnosis,Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230601,China)

机构地区：[1]安徽医科大学第二附属医院超声诊断科,安徽合肥230601

出　　处：《影像研究与医学应用》2022年第6期22-24,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨国际卵巢肿瘤分析(IOTA)组简易标准在评估卵巢肿瘤良恶性的临床应用价值。方法:2019年1月—2021年7月,本院共有100例患者接受超声检查及卵巢肿瘤手术,回顾分析其术前超声表现,采用IOTA简易标准分析卵巢肿瘤的良恶性,并计算其敏感度、特异度、阳性预测值、阴性预测值。结果:100例患者经IOTA标准判定:77例良性肿瘤,20例恶性肿瘤,3例不确定。97例可以使用IOTA标准的患者,IOTA超声简易标准诊断的敏感度为94.1%(95%CI69.2~99.7%),特异度为95%(95%CI87.0~98.4%),阳性预测值80%(95%CI55.7~93.4%),阴性预测值98.7%(95%CI92.0~99.9%),诊断准确率93.8%。结论:IOTA简易标准对于评估卵巢肿瘤良恶性具有较高的临床应用价值。Objective To explore the clinical application value of the International Ovarian Tumour Analysis(IOTA) group simple rules in the evaluation of benign and malignant ovarian tumors.Methods From January 2019 to July 2021,a total of 100patients in our hospital underwent ultrasound examination and ovarian tumor surgery.The preoperative ultrasound performance was retrospectively analyzed.The IOTA simple rules were used to analyze the benign and malignant ovarian tumors,and their sensitivity,specificity,positive predictive value,negative predictive value.Results 100 patients were judged by IOTA simple rules:77 benign tumors,20 malignant tumors,and 3 uncertain.In 97 patients could use the IOTA simple rules,the sensitivity of IOTA ultrasound simple rules diagnosis was 94.1%(95%CI 69.2 ~ 99.7%),specificity was 95%(95%CI 87.0 ~ 98.4%),positive prediction The value was 80%(95%CI 55.7 ~ 93.4%),the negative predictive value was 98.7%(95%CI 92.0 ~ 99.9%),and the diagnostic accuracy rate was 93.8%.Conclusions The IOTA simple rules have high clinical application value for evaluating benign and malignant ovarian tumors.

关 键 词：IOTA简易标准 卵巢肿瘤 多普勒 

分 类 号：R445.1[医药卫生—影像医学与核医学]