中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2013年
11期
1129-1132
,共4页
卵巢肿瘤%彩色多普勒超声%阻力指数%搏动指数%恶性危险指数
卵巢腫瘤%綵色多普勒超聲%阻力指數%搏動指數%噁性危險指數
란소종류%채색다보륵초성%조력지수%박동지수%악성위험지수
Ovarian neoplasm%Color Doppler ultrasound%Resistance index%Pulse index%Risk of malignant index
目的 探讨阻力指数(RI)和搏动指数(PI)联合恶性危险指数(RMI)预测卵巢肿瘤性质的可行性,提高卵巢肿瘤术前诊断的准确性.方法 选取我院2007年1月至2012年12月收治的30岁以上的卵巢肿瘤患者468例,其中恶性肿瘤127例(恶性肿瘤组),良性肿瘤341例(良性肿瘤组),分别应用RI +PI、RMI以及RI+ PI联合RMI的方法进行回顾性预测分析.结果 恶性肿瘤组和良性肿瘤组RI分别为0.41±0.08和0.68±0.15,PI分别为0.82±0.24和1.67±0.71,恶性肿瘤组RI、PI均低于良性肿瘤组(t =28.83,P＜0.01;t =22.26,P＜0.01).恶性肿瘤组和良性肿瘤组RMI分别为269.7±41.2和25.6±11.4,恶性肿瘤组RMI高于良性肿瘤组(t=107.55,P＜0.01).分别以RI＜ 0.40和(或)PI＜1.00、RMI＞ 200作为预测恶性肿瘤的标准,以术后组织病理学诊断作为判断肿瘤性质的金标准,RI、PI联合RMI与RI、PI和RMI单独使用预测卵巢肿瘤性质的敏感性分别为92.57％、81.02％和84.21％,RI、PI联合RMI预测卵巢肿瘤性质的敏感性高于RI+ PI和RMI单独使用(P均＜0.05),对卵巢肿瘤性质的预测价值优于各指标单独应用,其敏感性、特异性、阳性和阴性预测值均高于90％.结论 RI和PI检测联合RMI评分可提高术前预测卵巢肿瘤性质的准确性,是一种值得临床应用的方法.
目的 探討阻力指數(RI)和搏動指數(PI)聯閤噁性危險指數(RMI)預測卵巢腫瘤性質的可行性,提高卵巢腫瘤術前診斷的準確性.方法 選取我院2007年1月至2012年12月收治的30歲以上的卵巢腫瘤患者468例,其中噁性腫瘤127例(噁性腫瘤組),良性腫瘤341例(良性腫瘤組),分彆應用RI +PI、RMI以及RI+ PI聯閤RMI的方法進行迴顧性預測分析.結果 噁性腫瘤組和良性腫瘤組RI分彆為0.41±0.08和0.68±0.15,PI分彆為0.82±0.24和1.67±0.71,噁性腫瘤組RI、PI均低于良性腫瘤組(t =28.83,P＜0.01;t =22.26,P＜0.01).噁性腫瘤組和良性腫瘤組RMI分彆為269.7±41.2和25.6±11.4,噁性腫瘤組RMI高于良性腫瘤組(t=107.55,P＜0.01).分彆以RI＜ 0.40和(或)PI＜1.00、RMI＞ 200作為預測噁性腫瘤的標準,以術後組織病理學診斷作為判斷腫瘤性質的金標準,RI、PI聯閤RMI與RI、PI和RMI單獨使用預測卵巢腫瘤性質的敏感性分彆為92.57％、81.02％和84.21％,RI、PI聯閤RMI預測卵巢腫瘤性質的敏感性高于RI+ PI和RMI單獨使用(P均＜0.05),對卵巢腫瘤性質的預測價值優于各指標單獨應用,其敏感性、特異性、暘性和陰性預測值均高于90％.結論 RI和PI檢測聯閤RMI評分可提高術前預測卵巢腫瘤性質的準確性,是一種值得臨床應用的方法.
목적 탐토조력지수(RI)화박동지수(PI)연합악성위험지수(RMI)예측란소종류성질적가행성,제고란소종류술전진단적준학성.방법 선취아원2007년1월지2012년12월수치적30세이상적란소종류환자468례,기중악성종류127례(악성종류조),량성종류341례(량성종류조),분별응용RI +PI、RMI이급RI+ PI연합RMI적방법진행회고성예측분석.결과 악성종류조화량성종류조RI분별위0.41±0.08화0.68±0.15,PI분별위0.82±0.24화1.67±0.71,악성종류조RI、PI균저우량성종류조(t =28.83,P＜0.01;t =22.26,P＜0.01).악성종류조화량성종류조RMI분별위269.7±41.2화25.6±11.4,악성종류조RMI고우량성종류조(t=107.55,P＜0.01).분별이RI＜ 0.40화(혹)PI＜1.00、RMI＞ 200작위예측악성종류적표준,이술후조직병이학진단작위판단종류성질적금표준,RI、PI연합RMI여RI、PI화RMI단독사용예측란소종류성질적민감성분별위92.57％、81.02％화84.21％,RI、PI연합RMI예측란소종류성질적민감성고우RI+ PI화RMI단독사용(P균＜0.05),대란소종류성질적예측개치우우각지표단독응용,기민감성、특이성、양성화음성예측치균고우90％.결론 RI화PI검측연합RMI평분가제고술전예측란소종류성질적준학성,시일충치득림상응용적방법.
Objective To investigate the possibility of blood flow resistance index (RI),pulse index (PI) plus the risk of malignant index (RMI) in preoperative diagnosis of ovarian neoplasm.Methods Four hundred and sixty-eight women with ovarian tumor,30 years or older,were enrolled in current study from January 2007 to December 2012 in the People's Hospital of Tianjin.Among them,127 were with malignant ovarian tumors and 341 with benign ovarian tumors.They were retrospectively prospective assessed by RI + PI,RMI,and RI + PI combine with RMI.Results The value of RI,PI of malignant ovarian tumors group were lower than those of benign ovarian tumors group ((0.41 ± 0.08) vs (0.68 ± 0.15),t =28.83,P ＜ 0.01 ; (0.82 ± 0.24) vs (1.67 ±0.71),t =22.26,P ＜0.01).RMI of malignant ovarian tumors group was (269.7 ±41.2),higher than that of benign ovarian tumors group(25.6 ± 11.4,t =107.55,P ＜0.01).The indices of RI ＜0.40 and/or PI ＜1.00,RMI ＞ 200 were served as the critical biomarker respectively.Histopathological examination result was conducted and considered as gold standard for identifying patients with ovarian cancer pelvic masses.The sensitivity of RI,PI plus RMI was 92.57％,higher than that used by RI and PI (81.02％) or RMI only (84.21％),and the difference was significant (P ＜ 0.05).The sensitivity,specificity,positive and negative predictive values of the combined index of RI,PI adding to RMI were all higher than 90％.Conclusion The combined index of RI,PI plus RMI was proved to enhance the diagnostic accuracy regarding of the preoperative diagnosis of benign or malignant ovarian tumors.
