国际卵巢肿瘤分析简单法则鉴别卵巢肿瘤良恶性的临床价值分析  

Analysis of the Clinical Value of the International Ovarian Tumor Analysis Simple Rule in Identifying Benign and Malignant Ovarian Tumors

作　　者：高瞻远 马芬 肖思思 陶溢潮 Gao Zhanyuan;Ma Fen;Xiao Sisi;Tao Yichao(Xiaogan Central Hospital,Postgraduate Training Base of Jinzhou Medical University,Xiaogan 432000,Hubei Province,China)

机构地区：[1]锦州医科大学研究生培养基地孝感市中心医院,湖北孝感432000

出　　处：《中国社区医师》2024年第1期102-104,共3页Chinese Community Doctors

基　　金：孝感市自然科学基金项目:(编号:XGKJ2021010064)。

摘　　要：目的:分析国际卵巢肿瘤分析(IOTA)简单法则鉴别卵巢肿瘤良恶性的临床价值。方法:回顾性选取2020年1月—2022年12月于孝感市中心医院经病理检查确诊的卵巢肿瘤患者386例作为研究对象,由低年资组医师和高年资组医师在不知病理诊断结果情况下,依靠经验和应用IOTA简单法则分别对卵巢肿瘤进行定性诊断,以术后病理诊断结果为“金标准”,比较两组医师经验性诊断与应用IOTA简单法则对卵巢肿瘤良恶性的诊断效能。结果:386例卵巢肿瘤中,良性肿瘤294例,恶性肿瘤92例。低年资组医师经验诊断卵巢肿瘤良恶性的准确率、灵敏度、特异度、阳性预测值、阴性预测值低于低年资组应用IOTA简单法则、高年资组经验诊断、高年资组应用IOTA简单法则,差异有统计学意义(P<0.05);高年资组经验诊断、高年资组应用IOTA简单法则以及低年资组应用IOTA简单法则诊断卵巢肿瘤良恶性的准确率、灵敏度、特异度、阳性预测值、阴性预测值比较,差异无统计学意义(P>0.05)。结论:低年资医师应用IOTA简单法则对卵巢肿瘤良恶性的诊断效能与高年资医师经验诊断的效能相当,可帮助低年资医师提高诊断准确性,减少漏诊及误诊。Objective:To analyze the clinical value of the International Ovarian Tumor Analysis(IOTA)simple rule in identifying benign and malignant ovarian tumors.Methods:386 patients with ovarian tumors diagnosed by pathological examination at Xiaogan Central Hospital from January 2020 to December 2022 were retrospectively selected as research subjects.Without knowing the pathological diagnosis results,the doctors in the junior group and the senior group made qualitative diagnosis of ovarian tumors respectively based on experience and applying the simple IOTA rules,with the postoperative pathological diagnosis results as the"gold standard".To compare the diagnostic performance of two groups of doctors on benign and malignant ovarian tumors based on empirical diagnosis and application of simple IOTA rules.Results:Among the 386 cases of ovarian tumors,294 were benign tumors and 92 were malignant tumors,the accuracy,sensitivity,specificity,positive predictive value,and negative predictive value in diagnosing benign and malignant ovarian tumors based on the experience of junior doctors;the lower seniority group applies IOTA simple rules,the senior seniority group applied empirical diagnosis,and the senior seniority group applied IOTA simple rules,the difference was statistically significant(P<0.05);Comparison of the accuracy,sensitivity,specificity,positive predictive value,and negative predictive value of empirical diagnosis in the senior senior group,the application of the IOTA simple rule in the senior senior group,and the application of the IOTA simple rule in the low seniority group in the diagnosis of benign and malignant ovarian tumors;the difference was not statistically significant(P>0.05).Conclusion:The diagnostic efficiency of junior doctors applying IOTA simple rules to diagnose benign and malignant ovarian tumors is equivalent to the experience diagnosis efficiency of senior doctors,which can help junior doctors improve the diagnostic accuracy and reduce missed diagnosis and misdiagnosis.

关 键 词：卵巢肿瘤 IOTA简单法则 良恶性 诊断效能 

分 类 号：R737.31[医药卫生—肿瘤]