| 汪林,张天骄,张洁,刘畅,周颖.超声卵巢-附件报告和数据系统分类对卵巢-附件肿瘤良恶性的诊断及病理对照分析[J].中国临床保健杂志,2023,26(6):834-838. |
| 超声卵巢-附件报告和数据系统分类对卵巢-附件肿瘤良恶性的诊断及病理对照分析 |
| Ultrasound data system O-RADS classification for the diagnosis of benign and malignant ovarian adnexal tumors and pathological comparison analysis |
| 投稿时间：2023-08-12 |
| DOI：10.3969/J.issn.1672-6790.2023.06.027 |
| 中文关键词: 卵巢肿瘤 诊断技术,妇产科 超声检查,多普勒,彩色 病理状态 |
| 英文关键词: Ovarian neoplasms Diagnostic techniques,obstetrical and gynecological Ultrasonography,doppler,color Pathological conditions 〖FL |
| 基金项目:安徽省自然科学基金项目(2208085QH252)；安徽省重点研发项目(2022e07020013) |
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| 中文摘要: |
| 目的 探析超声卵巢-附件报告和数据系统(O-RADS)分类对卵巢-附件肿瘤良恶性的诊断价值。方法 回顾性分析2022年7月至2023年3月中国科学技术大学附属第一医院(安徽省立医院)就诊的67例卵巢-附件肿瘤患者病历资料,均接受超声诊断,获取超声图像进行O-RADS分类,并接受手术治疗获取病理结果。分析卵巢-附件肿瘤病理诊断结果；以手术病理结果为金标准,分析O-RADS分类中卵巢-附件肿瘤恶性检出率,并采用公式计算O-RADS分类中卵巢-附件肿瘤的诊断效能；采用受试者工作特征(ROC)曲线分析超声O-RADS分类对卵巢-附件肿瘤良恶性的诊断效能。结果 以术后病理诊断为金标准,67例患者术前O-RADS分类恶性检出率20.90%,其中O-RADS 2类、3类、4类、5类的恶性病灶检出率分别为0、0、22.73%、90.00%。O-RADS 良性肿瘤患者(2类、3类)恶性率为0,明显低于恶性肿瘤患者[4类、5类患者,43.75%(14/32)],χ2=19.357,P<0.05。公式计算结果显示,术前O-RADS分类灵敏度100.00%(14/14),特异度66.04%(35/53),阳性预测值43.75%(14/32),阴性预测值100.00%(35/35),准确率为73.13%(49/67)。绘制ROC曲线显示,以O-RADS 4类为截断值,AUC(95%CI)为0.930(0.784~0.984),灵敏度64%,特异度98%,阳性预测值90%,阴性预测值91%,准确率为91%。结论 超声数据系统O-RADS分类诊断卵巢-附件肿瘤良恶性效能较高。 |
| 英文摘要: |
| Objective To explore the diagnostic value of ovarian adnexal imaging reporting and data system (O-RADS) for benign and malignant ovarian adnexal tumors.Method A retrospective analysis was conducted on 67 patients with ovarian adnexal tumors treated in the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,University of Science and Technology of China from July 2022 to March 2023.All patients underwent ultrasound diagnosis,obtained ultrasound images for O-RADS classification,and underwent surgical treatment to obtain pathological results.Analyze the pathological diagnosis results of ovarian adnexal tumors;using surgical and pathological results as the gold standard,analyze the malignant detection rate of ovarian adnexal tumors in O-RADS classification,and use formulas to calculate the diagnostic efficacy of ovarian adnexal tumors in O-RADS classification;the diagnostic efficacy of ultrasound O-RADS classification for benign and malignant ovarian adnexal tumors was analyzed using receiver operator characteristic curve (ROC) analysis.Result Based on postoperative pathological diagnosis as the gold standard,the preoperative O-RADS classification malignant detection rate of 67 patients was 20.90%,among which the detection rates of O-RADS type 2,3,4,and 5 malignant lesions were 0,0,22.73%,and 90.00%,respectively.The malignant rate of O-RADS patients with Benign tumor (Class 2 and Class 3) was 0(0/35),which was significantly lower than that of patients with malignant tumors [Class 4 and Class 5,43.75% (14/32)],χ2=19.357,P<0.05.The formula calculation results showed that the preoperative O-RADS classification sensitivity was 100.00% (14/14),specificity was 66.04% (35/53),positive predictive value was 43.75% (14/32),negative predictive value was 100.00% (35/35),and accuracy was 73.13% (48/67).The Receiver operating characteristic was drawn,with O-RADS category 4 as the cut-off value,AUC (95%CI) 0.930(0.784-0.984),sensitivity 64%,specificity 98%,positive predictive value 90%,negative predictive value 91%,and accuracy 91%.Conclusion The O-RADS classification of ultrasound data system is highly effective in diagnosing benign and malignant ovarian adnexal tumors. |
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