青岛大学医学院学报2017，Vol.53Issue(1)：31-34,4.DOI:10.13361/j.qdyxy.201701010
简单规则鉴别附件区良恶性包块的临床价值
THE CLINICAL VALUE OF SIMPLE RULES FOR IDENTIFICATION OF BENIGN AND MALIGNANT MASSES IN THE ANNEX
杜晓颖 1宁春平 1房世保 1仲艳密 2杨宗利 1王宏桥1
作者信息
- 1. 青岛大学附属医院超声科,山东青岛 266003
- 2. 山东大学齐鲁医院超声科
- 折叠
摘要
Abstract
Objective Giving subjective diagnosis result of ultrasound doctors as control and the result of pathology as gold standard,to assess the clinical value of simple rules in distinguishing benign and malignant adnexal masses.Methods A total of ultrasound images of 200 adnexal masses of 200 patients were collected,the image characteristics were retrospectively reviewed by two sonographers of different seniority,a subjective diagnosis was made based on clinical experience.The observer was asked to give a diagnostic conclusion based on the "simple rules".Receiver-operating characteristic curves (ROC) were then created.A comparison of sensitivity and specificity in the diagnosis of adnexal masses were made in ultrasound doctors of different length of service.Results Pathologic results indicated that:in the 200 adnexal masses,127 (64.5％) were benign,73 (35.5％)were malignant,of which,15 (7.5％) were borderline.According to simple rule diagnosis,the area under the ROC curve (AUC)was 0.877,sensitivity was 83.3％ and specificity was 84.3％.In senior doctors,the AUC of diagnosis was 0.920,the sensitivity was 94.4％ and specificity 81.1％;in junior doctors,the AUC of diagnosis under ROC was 0.828,the sensitivity was 76.4％ and specificity was 72.7％.The diagnosis efficiency of junior doctors was lower than that of simple rules,and that of senior doctors was higher than that of junior ones and simple rules (Z=1.98-2.30,P＜0.05).Conclusion The simple rules can quickly diagnose adnexal masses,which has a good prospect for clinical application,but the summary and accumulation of clinical experience is still very important.关键词
卵巢肿瘤/超声检查,多普勒,彩色/简单规则/主观评价Key words
ovarian diseases/ullrasonography, Doppler, Color/simple rules/subjective diagnosis分类
医药卫生引用本文复制引用
杜晓颖,宁春平,房世保,仲艳密,杨宗利,王宏桥..简单规则鉴别附件区良恶性包块的临床价值[J].青岛大学医学院学报,2017,53(1):31-34,4.
