O-RADS对卵巢良恶性肿瘤诊断的效能并分析卵巢恶性肿瘤发生的影响因素  

Diagnostic efficacy of O-RADS in benign and malignant ovarian tumors and influencing factors for ovarian malignancy

作　　者：王荣玲 江雨珊 唐婉晴 杨宗利[1] WANG Rongling;JIANG Yushan;TANG Wanqing;YANG Zongli(Department of Ultrasonography,The Affiliated Hospital of Qingdao University,Qingdao 266071,China)

机构地区：[1]青岛大学附属医院腹部超声科,山东青岛266071 [2]青岛市即墨区人民医院超声科

出　　处：《精准医学杂志》2024年第1期63-66,70,共5页Journal of Precision Medicine

摘　　要：目的探讨卵巢-附件报告和数据系统(O-RADS)对卵巢良恶性肿瘤诊断的效能,并分析卵巢恶性肿瘤发生的危险因素。方法回顾性分析病理确诊为卵巢肿瘤的417例患者的临床资料,以病理结果为金标准,将患者分为恶性组和良性组,对两组临床资料进行比较,同时依据超声图像特征和O-RADS对患者进行分类,绘制受试者工作特征(ROC)曲线,分析O-RADS诊断效能。结果单因素及多因素分析示,囊壁厚度≥3 cm、有实性成分、血流评分3~4分、腹水、腹膜结节是卵巢恶性肿瘤发生的危险因素(P<0.05)。与O-RADS 5类归为卵巢恶性肿瘤相比较,以O-RADS 4~5类归为卵巢恶性肿瘤作为诊断依据,其诊断的灵敏度、准确率及曲线下面积均显著升高(χ^(2)=6.28~18.84,P<0.05)。结论O-RADS分类能够较好地鉴别诊断卵巢良恶性肿瘤,当O-RADS 4~5类视为卵巢肿瘤恶性高风险时,诊断效能最好。Objective To explore the diagnostic value of the ovarian-adnexal reporting and data system(O-RADS)in differentiating between benign and malignant ovarian tumors,and to analyze risk factors for malignant ovarian tumors.Methods The clinical data of 417 patients with ovarian tumors diagnosed by pathology were retrospectively analyzed.With pathological results as the gold standard,the patients were divided into malignant group and benign group.The clinical data of the two groups were compared.At the same time,the patients were classified according to ultrasound characteristics and O-RADS.A receiver operating characteristic(ROC)curve was used to analyze the diagnostic efficacy of O-RADS.Results The univariable and mul-tivariable analyses showed that the risk factors for ovarian malignancy included cyst wall thickness≥3 cm,solid components,blood flow score of 3-4 points,ascites,and peritoneal nodules(P<0.05).Compared with O-RADS 5,using O-RADS 4-5 to diagnose ovarian malignancy significantly increased the sensitivity,accuracy,and area under the ROC curve(χ^(2)=6.28-18.84,P<0.05).Conclusion O-RADS can well differentiate between benign and malignant ovarian tumors.When using O-RADS 4-5 to indicate a high risk of ovarian malignancy,the diagnostic efficacy is best.

关 键 词：卵巢肿瘤 超声检查 数据系统 诊断 鉴别 危险因素 

分 类 号：R455.1[医药卫生—运动医学] R737.31[医药卫生—治疗学]