| 摘要: |
| 【摘要】目的：探讨妇科影像报告和数据系统（GI-RADS）在附件肿瘤良恶性鉴别中的应用价值。方法：回顾性分析2018年11月至2020年2月在我院进行妇科超声检查且存在附件肿块的患者180例，根据附件肿块的超声特征对其进行GI-RADS分类，以病理结果为金标准，计算其诊断效能及其最佳临界值。结果：180例病理结果恶性39例，良性141例，GI-RADS分类中，判断为GI-RADS2类15例，无一例为恶性；GI-RADS3类112例，有1例为恶性；GI-RADS4类25例，有12例为恶性；GI-RADS5类28例，有26例为恶性。将GI-RADS5类来预测附件恶性肿块的敏感性、特异性及准确性分别为66.7%、98.6%、91.7%，将GI-RADS4类及5类来预测附件恶性肿块的敏感性、特异性及准确性分别为97.4%、89.4%、91.1%。建议将GI-RADS＞3作为预测恶性附件肿块的最佳临界值。结论：GI-RADS分类能够较好的应用于诊断附件良恶性肿块，建议GI-RADS4类及5类肿块者视为附件恶性肿块高风险，其诊断效能较好。 |
| 关键词: 妇科影像报告和数据系统 附件肿瘤 恶性 |
| DOI： |
| 投稿时间：2020-08-02修订日期：2020-08-18 |
| 基金项目:广西壮族自治区卫生健康委员会自筹经费科研课题 |
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| Application value of gynaecological imaging report and data system in the benign and malignant differentiation of adnexal tumors? LI Qin1,ZHAO Wei1,TANG Liulin2,MO Yingying1,1Department of Ultrasound,2Department of Gynecology,the Affiliated Hospital of Guilin Medical University,Guilin,541001,China。 |
| LI QIN,ZHAO WEI,TANG LIULIN,MO YINGYING |
| (the Affiliated Hospital of Guilin Medical University) |
| Abstract: |
| 【Abstract】Objective: to explore the application value of gynaecological imaging report and data system (GI-RADS) in the benign and malignant differentiation of accessory tumors.Methods: a retrospective analysis was performed on 180 patients with adnary masses who underwent gynecological ultrasound examination in our hospital from November 2018 to January 2020. According to the ultrasonic characteristics of adnexal masses, they were classified by GI-RADS, and their diagnostic efficacy and optimal critical value were calculated based on the gold standard of pathological results.Results: 180 cases were malignant, 39 cases were malignant, and 141 cases were benign. In the classification of GI-RADS, 15 cases were judged as GI-RADS2, and none were malignant.There were 112 cases of GI-RADS3, 1 of which was malignant.There were 25 cases of GI-RADS4, 12 of which were malignant.There were 28 cases of GI-RADS5, 26 of which were malignant.The sensitivity, specificity and accuracy of GI-RADS5 were respectively 66.7%、98.6% and 91.7%, and that of GI-RADS4 and 5 were respectively 97.4%、89.4% and 91.1%.It is suggested that GI-RADS > 3 is the best critical value to predict malignant adnexal mass.Conclusion: the classification of GI-RADS can be better applied to the diagnosis of adnexal benign and malignant tumors. It is suggested that patients with GI-RADS4 and 5 types of tumors should be considered as adnexal malignant tumors, and its diagnostic efficacy is better. |
| Key words: Gynecologic Imaging Reporting and Data System,Adnexal tumors,Malignant |
