| 摘要: |
| 目的：探讨IOTA简单规则、Caruso评分单独及联合应用对卵巢良恶性肿瘤的诊断价值。方法：分析于我院诊治的167例卵巢肿瘤病例（62例恶性，105例良性），收集各项超声形态学指标及彩色多普勒血流指标，在不知道病理结果的情况下，分别应用IOTA简单规则、Caruso评分及二者联合应用对其进行鉴别诊断。结果：彩色多普勒5项血流指标差异均有统计学意义（P＜0.05），恶性肿瘤Caruso评分显著高于良性，差异有统计学意义（P＜0.05），IOTA简单规则的适用率为78.4%，IOTA简单规则、Caruso评分及二者联合法诊断卵巢良恶性肿瘤的灵敏度分别为91.7%、87.1%、93.5%，特异性分别为95.2%、79%、91.4%，阳性预测值分别为91.7%、71.1%、86.6%，阴性预测值分别为95.2%、91.2%、96%，诊断符合率分别为93.9%、82%、92.2%。结论：卵巢良恶性肿瘤在超声形态学特征及彩色多普勒血流特征方面均有显著差异，IOTA简单规则、Caruso评分均为卵巢良恶性肿瘤的可靠诊断方法，但IOTA简单规则不能诊断所有肿瘤，Caruso评分诊断效能低于IOTA简单规则，二者联合应用对卵巢肿瘤的诊断效能最优。 |
| 关键词: 诊断 卵巢肿瘤 简单规则 超声评分 |
| DOI： |
| 投稿时间：2018-02-06修订日期：2018-03-20 |
| 基金项目:江苏省扬州市重点研发计划——社会发展项目 (编号：YZ2016091) |
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| The application of IOTA simple rules,Caruso score in the identification of benign and malignant ovarian tumors |
| CHEN Nian,ZHOU Kai |
| (Department of Ultrasound,YangZhou Maternal and Child Health Hospital) |
| Abstract: |
| Objective: To investigate the diagnostic value of IOTA simple rules,Caruso score alone and in combination on benign and malignant ovarian tumors.Methods: 167 cases of ovarian tumors diagnosed and treated in our hospital were retrospectively analyzed(62 malignant cases,105 benign cases),Collected various ultrasonic morphological index and color Doppler flow index,without knowing the pathological result, we used IOTA simple rules, Caruso score respectively and the combination of both for the differential diagnosis of benign and malignant ovarian tumors. Results:Five blood flow indicators of color Doppler were statistically significant（P＜0.05）, Caruso score of malignant ovarian tumor was significantly higher than the benign,the difference was statistically signifficant（P＜0.05）.The applicable rate of IOTA simple rules was 78.4%, IOTA simple rules, Caruso score and the combination of both were used in the diagnosis of benign and malignant ovarian tumors,the sensitivities were 91.7%、87.1%、93.5% , the specificities were 95.2%、79%、91.4%, the positive predictive values were 91.7%、71.1%、86.6%, the negative predictive values were 95.2%、91.2%、96%,the diagnostic coincidence rates were 93.9%、82%、92.2%. Conclusion: Ultrasonic morphological characteristics and color Doppler flow characteristics of benign and malignant ovarian tumors are different. IOTA simple rules and Caruso score are reliable methods to make a differential diagnosis of benign and malignant ovarian tumors,But IOTA simple rules can not diagnose all tumors. Caruso score has lower diagnostic efficiency than IOTA simple rules ,the combination of the two methods to diagnose ovarian tumors is the best. |
| Key words: Diagnosis Ovarian tumors Simple rules Ultrasound score |
