摘要: |
目的 分析比较IOTA简易标准、超声与超声联合IOTA简易标准对卵巢交界性肿瘤的预测价值,探讨诊断卵巢交界性肿瘤的相关因素。方法 回顾性分析山西白求恩医院住院手术的上皮性卵巢肿瘤患者:64例交界性(4例双侧,共68个肿块)、87例良性、45例恶性。三种方法分别判定68个卵巢交界性肿瘤。以卵巢良性、交界性及恶性肿瘤为因变量,对IOTA简易标准中涉及的相关变量进行单因素方差分析及多元无序logistic回归分析。结果 ①IOTA简易标准、超声及超声联合IOTA简易标准的非良性病变符合率分别为70.6%(48/68)、48.5%(33/68)、67.6%(46/68),三种方法比较差异有统计学意义(P<0.05),两两比较:超声与IOTA简易标准非良性病变符合率差异有统计学意义(P<0.05),IOTA简易标准与超声联合IOTA简易标准非良性病变符合率差异无统计学意义(P>0.05);超声与超声联合IOTA简易标准诊断卵巢交界性肿瘤的符合率分别为44.1%(30/68)、54.4%(37/68),差异有统计学意义(P<0.05)。②单因素方差分析显示乳头、密集隔及血流为卵巢良性、交界性及恶性肿瘤诊断的影响因素(P<0.05)。多元无序logistic回归分析显示卵巢交界性肿瘤超声声像图表现相比良性肿瘤,出现乳头、密集隔和血流概率大(P<0.05);相较恶性肿瘤,出现血流概率小(P<0.05)。结论 超声联合IOTA简易标准能够提高对卵巢交界性肿瘤的诊断符合率。卵巢肿块超声声像图表现有乳头、密集隔和(或)有血流能够帮助诊断卵巢交界性肿瘤。 |
关键词: 卵巢交界性肿瘤 超声 IOTA简易标准 |
DOI: |
投稿时间:2021-10-08修订日期:2021-12-09 |
基金项目: |
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The Prediction Value of Ultrasound Combined with IOTA Simple Rule for Borderline ovarian Tumors |
zhumengxia,Jia-xiaohui,Zhao-qiannan,Xie-xuanbing,Yu-bing |
(Shanxi Bethune Hospital;Shanxi Bethune Hospital;Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi MedicalUniversity) |
Abstract: |
Objective To compare the predictive value of ultrasound and ultrasound combined with IOTA simple rule for ovarian borderline tumor and explore the influencing factors for diagnosis of ovarian borderline tumor. Methods A retrospective analysis was performed on 64 patients undergoing surgery for epithelial ovarian tumors in Bethune Hospital of Shanxi Province: 64 borderline (4 bilateral, 68 masses), 87 benign, 45 malignant. In the first step, 68 borderline ovarian masses were subjectively determined by experienced sonographers.The second step was determined by the IOTA simple rule applied by the low-experience sonographers, and the uncertainty types in the results were analyzed by experienced sonographers. Univariate analysis and multivariate disordered logistic regression analysis were performed on the variables involved in IOTA simple rule and related literatures.Results ①The coincidence rates of non-benign lesions in IOTA simple rule, ultrasound and combined with IOTA simplerule were 70.6% (48/68), 48.5% (33/68) and 67.6% (46/68), respectively, and the differences among the three methods were statistically significant (P < 0.05).There was statistical difference in the coincidence rate of non-benign lesions between ultrasound and IOTA simple rule (P < 0.05), but there was no statistical difference in the coincidence rate between IOTA simple rule and ultrasound combined with IOTA simple rule (P > 0.05).The coincidence rate of ultrasound and ultrasound combined with IOTA simple rule for diagnosis of ovarian borderline tumor was 44.1% (30/68) and 54.4% (37/68), respectively, and the difference between the two methods was statistically significant (P < 0.05).② There were statistically significant differences in the diagnosis of ovarian borderline tumors by IOTA simple rule, ultrasonic and ultrasonic combined with IOTA simple rule for non-benign lesions, and ultrasonic and ultrasonic combined with IOTA simple rule for ovarian borderline tumors (P < 0.05). ③ Univariate analysis showed that nipple, septum and blood flow were the influential factors in judging benign, borderline and malignant ovarian tumors (P < 0.05).Multivariate disordered logistic regression analysis showed that borderline tumors had more dense septa and blood flow than benign tumors (P < 0.05). Compared with malignant tumor, blood flow probability was lower (P < 0.05).Conclusions Ultrasound combined with IOTA simple rule can improve the diagnostic coincidence rate of ovarian borderline tumor. Ultrasonography of an ovarian mass with existing papilla, septum, and/or blood flow can aid in the diagnosis of ovarian borderline tumors. |
Key words: Borderline ovarian tumors Ultrasound IOTA simple rule |