国际卵巢肿瘤研究组简单法则与妇科超声影像报告和数据系统在妇科卵巢肿瘤良恶性中的诊断价值  

Comparison of the diagnostic efficacy of simple principle of iota and gi-rads in benign and malignant ovarian tumors

作　　者：严慧 张云姣[1] 王红岗[1] YAN Hui;ZHANG Yun-Jiao;WANG Hong-Gang(Jinhua People's Hospital of Zhejinag Province,Jinhua,Zhejiang 321000,China)

机构地区：[1]金华市人民医院,浙江金华321000

出　　处：《中国妇幼保健》2022年第10期1902-1905,共4页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科技计划项目(2018KY859)。

摘　　要：目的探讨超声国际卵巢肿瘤研究组(IOTA)简单法则与妇科超声影像报告和数据系统(GI-RADS)在妇科卵巢肿瘤良恶性鉴别中的诊断效能,为临床优选卵巢肿瘤良恶性诊断方案提供参考。方法纳入2018年5月—2020年5月在金华市人民医院就诊的疑似卵巢肿瘤患者100例作为研究对象,所有患者均根据实际情况行阴道或腹部超声检查,由两位高年资超声医师分别采用OTA法则和GI-RADS系统对患者卵巢肿瘤的良恶性做出判断。所有患者均行病理活检或手术病理检查加以确诊。以病理检查结果为金标准,分别计算OTA法则及GI-RADS系统诊断卵巢肿瘤的统计学效能指标(灵敏度、特异度、准确度、阳性预测值及阴性预测值),并对两种系统诊断效能指标进行比较。结果①100例卵巢肿瘤患者经病理检查确诊为恶性卵巢肿瘤者38例,病理类型以浆液性腺癌为主共计11例,鳞状细胞癌共计8例,转移性腺癌共计7例,黏液性腺癌5例,交界性浆液性腺瘤3例,未成熟型畸胎瘤2例,平滑肌肉瘤1例,其他类型1例,恶性肿瘤检出率为38.00%;②经IOTA超声简单法则判定为卵巢恶性肿瘤35例,经GI-RADS系统判定恶性肿瘤34例,两种判断方式联合诊断为卵巢恶性肿瘤35例;③IOTA超声简单法则诊断卵巢恶性肿瘤患者的灵敏度、特异度、准确度、阳性预测值及阴性预测值分别为:84.21%、95.16%、91.00%、91.43%及90.77%;经GI-RADS系统判定为卵巢恶性肿瘤患者的灵敏度、特异度、准确度、阳性预测值及阴性预测值分别为:81.58%、95.16%、90.00%、91.18%及89.39%;二者联合诊断卵巢恶性肿瘤的灵敏度、特异度、准确度、阳性预测值、阴性预测值分别为:86.84%、96.77%、93.00%、94.29%及92.31%,三者各统计效能指标较为接近。结论超声检查对卵巢肿瘤患者良恶性诊断具有无创、快速的优势,采用IOTA简单法则及GI-RADS系统对超声检查结果判断肿瘤良恶性具有较Objective To compare and analyze the diagnostic efficacy of simple rules of international ovarian tumor research(IO-TA)and gynecological ultrasound image reporting and data system(GI-RADS)in the differential diagnosis of benign and malignant ovarian tumors,so as to provide reference for clinical selection of benign and malignant ovarian tumors.Methods 100 cases of suspected ovarian tumor patients in our hospital from May 2018 to May 2020 were included as the research objects.All patients underwent vaginal or abdominal ultrasound examination according to the actual situation.Two senior ultrasound doctors used OTA rule and GI-RADS system to judge the be-nign and malignant ovarian tumor respectively.All patients were diagnosed by pathological biopsy or surgical pathology.Taking the pathologi-cal examination results as the gold standard,the statistical efficiency indexes(sensitivity,specificity,accuracy,positive predictive value and negative predictive value)of OTA rule and gi-rads system in the diagnosis of ovarian tumors were calculated respectively,and the diagnostic efficiency indexes of the two systems were compared.Results①Among the 100 cases of ovarian tumor,38 cases were diagnosed as malig-nant ovarian tumor by pathological examination.The main pathological types were serous adenocarcinoma in 11 cases,squamous cell carcino-ma in 8 cases,metastatic adenocarcinoma in 7 cases,mucinous adenocarcinoma in 5 cases,borderline serous adenoma in 3 cases,immature teratoma in 2 cases,leiomyosarcoma in 1 case,and other types in 1 case The sensitivity,specificity,accuracy,positive predictive value and negative predictive value were 84.21%,95.16%,91.00%and 91.43%respectively The sensitivity,specificity,accuracy,positive predic-tive value and negative predictive value of GI-RADS system were 81.58%,95.16%,90.00%,91.18%and 89.39%,respectively;the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of combined diagnosis of ovarian malignant tumor were 86.84%,96.77%,93.00%,94.29%and 92.39%,

关 键 词：妇科卵巢肿瘤良恶性 超声国际卵巢肿瘤研究组简单法则 妇科超声影像报告和数据系统 病理检查 诊断效能 

分 类 号：R737.31[医药卫生—肿瘤]