中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
21期
35-37
,共3页
卵巢肿瘤%超声检查%诊断
卵巢腫瘤%超聲檢查%診斷
란소종류%초성검사%진단
Ovarian tumor%Ultrasonography%Diagnosis
目的 评估综合绝经后状态、超声评分、血清CA125的两种恶性危险度指数(risk of malignant indices,RMI1、RMI2)对卵巢肿瘤定性诊断的价值.方法 对2004年1月至2009年2月在我院行妇科手术的124例卵巢肿瘤患者的临床资料进行回顾性分析,应用RMI回归方程得出患者术前评分并以病理诊断为标准,计算RMI的灵敏度、特异度、阳性预告值、阴性预告值、ROC曲线,采用SAS软件包处理临床数据.结果 RMI1和RMI2对术前卵巢肿瘤定性诊断效果优于单一的血清CA125.当RMI在80～250水平时,RMI2比RMI1更好地反映了卵巢肿瘤的特性(P<0.01).RMI2为125水平时,其灵敏度是81%,特异度是90%,阳性预告值是74%.ROC曲线表明对卵巢肿瘤术前定性诊断效果从优到劣是RMI2、RMI1、CA125.结论 RMI2对卵巢肿瘤术前定性诊断比RMI1有更高的可信度,RMI2是一种比较简单、可用于临床术前筛查卵巢肿瘤性质的又一方法.
目的 評估綜閤絕經後狀態、超聲評分、血清CA125的兩種噁性危險度指數(risk of malignant indices,RMI1、RMI2)對卵巢腫瘤定性診斷的價值.方法 對2004年1月至2009年2月在我院行婦科手術的124例卵巢腫瘤患者的臨床資料進行迴顧性分析,應用RMI迴歸方程得齣患者術前評分併以病理診斷為標準,計算RMI的靈敏度、特異度、暘性預告值、陰性預告值、ROC麯線,採用SAS軟件包處理臨床數據.結果 RMI1和RMI2對術前卵巢腫瘤定性診斷效果優于單一的血清CA125.噹RMI在80～250水平時,RMI2比RMI1更好地反映瞭卵巢腫瘤的特性(P<0.01).RMI2為125水平時,其靈敏度是81%,特異度是90%,暘性預告值是74%.ROC麯線錶明對卵巢腫瘤術前定性診斷效果從優到劣是RMI2、RMI1、CA125.結論 RMI2對卵巢腫瘤術前定性診斷比RMI1有更高的可信度,RMI2是一種比較簡單、可用于臨床術前篩查卵巢腫瘤性質的又一方法.
목적 평고종합절경후상태、초성평분、혈청CA125적량충악성위험도지수(risk of malignant indices,RMI1、RMI2)대란소종류정성진단적개치.방법 대2004년1월지2009년2월재아원행부과수술적124례란소종류환자적림상자료진행회고성분석,응용RMI회귀방정득출환자술전평분병이병리진단위표준,계산RMI적령민도、특이도、양성예고치、음성예고치、ROC곡선,채용SAS연건포처리림상수거.결과 RMI1화RMI2대술전란소종류정성진단효과우우단일적혈청CA125.당RMI재80～250수평시,RMI2비RMI1경호지반영료란소종류적특성(P<0.01).RMI2위125수평시,기령민도시81%,특이도시90%,양성예고치시74%.ROC곡선표명대란소종류술전정성진단효과종우도렬시RMI2、RMI1、CA125.결론 RMI2대란소종류술전정성진단비RMI1유경고적가신도,RMI2시일충비교간단、가용우림상술전사사란소종류성질적우일방법.
Objective To evaluate the ability of two malignant risk indices(RMI1 and RMI2) incorporating menopausal status, serum CA125 level and ultrasound findings, which discriminate benign from a malignant ovarian tumors. Methods From January 2004 to February 2009 the data which were statistically managed by SAS software package, were retrospectively analyzed in 124 cases of ovarian tumors coming from inpatients and RMI scoring system was applied for obtaining the patient's pre-operative score based on pathologic diagnostic criterion. Results RMI was superior to single serum CA125 level in discriminating the characteristic of ovarian tumors and For all cut off values between 80 and 250, RMI2 reflected the property of ovarian tumors better than RMI1 (P<0.01), which also be shown by receiver-operator characteristic curves. RMI2 at a cut off level of 125 gave a sensitivity of 81%, specificity of 90% and positive predictive value of 74%. Conclusions RMI2 is more reliable in discriminating the characteristics of ovarian tumors than RMI1, which can be used for a new method of screening the property of ovarian tumors in Gynecologic clinics.
