GI-RADS分级联合血清CA-125鉴别附件区肿块良恶性的临床价值

doi:DOI:10.12117/jccmi.2018.12.011

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摘要目的：分析评价GI-RADS分级联合血清CA-125鉴别附件区肿块良恶性的临床价值。方法：回顾性分析经病理证实的159个附件区肿块的超声表现，记录厚壁、分隔、腹水、乳头状凸起、实性成分、内部血流6个超声特征，并进行GI-RADS分级；分析患者血清CA-125数据，结合血清CA-125数据对GI-RADS分级进行校准。结果：6个超声征象中，内部血流诊断附件区恶性肿瘤的约登指数和准确度最高，分别为63.1%、85.5%，厚壁最低，分别为16.8%、72.3%；GI-RADS分级联合血清CA-125与GI-RADS分级相比，诊断附件区恶性肿瘤的约登指数升高（79.4%、76.4%），准确度降低（91.2%、93.1%）。结论：单个超声征象中，内部血流诊断附件区恶性肿瘤的效能最高，厚壁最低；GI-RADS分级、GI-RADS分级联合血清CA-125诊断附件区恶性肿瘤均具有较高的价值，诊断效能无明显差别。

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	许爱玲
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关键词 ：生殖器肿瘤, 女（雌）性, 超声检查

Abstract：Objective: To analyze the value of gynecologic imaging reporting and data system(GI-RADS) ultrasonographic stratification combined with serum CA-125 in diagnosing adnexal masses. Methods: Ultrasound manifestations of 159 adnexal masses confirmed by pathology were retrospectively analyzed according to 6 ultrasonic features: wall thickness, separation, ascites, papillary bulge, solid component, and internal blood flow. Then the adnexal masses were graded with GI-RADS ultrasonographic stratification, using the serum CA-125 data to calibrate the GI-RADS ultrasonographic stratification. Results: Of the 6 ultrasound signs, the Youden index and accuracy of the internal blood flow were the highest, 63.1% and 85.5% respectively. Those of the wall thickness were the minimum, 16.8% and 72.3% respectively. Compared to GI-RADS ultrasonographic stratification, GI-RADS ultrasonographic stratification combined with serum CA-125 showed higher Youden index(79.4%, 76.4%) and lower accuracy(91.2%, 93.1%). Conclusions: Of the 6 ultrasound signs, diagnostic efficiency of internal blood flow is the highest and that of wall thickness is the lowest in diagnosing adnexal malignancies. Both GI-RADS ultrasonographic stratification and GI-RADS ultrasonographic stratification combined with serum CA-125 in diagnosis of adnexal malignancies have high diagnostic value and no significant difference in diagnostic efficiency.

Key words： Genital neoplasms, female Ultrasonography

收稿日期: 2018-01-22

PACS:	Ｒ737.3
	Ｒ445.1

通讯作者: 聂芳，兰州大学第二医院超声医学中心，730030。

作者简介: 许爱玲（1990-），女，甘肃人，医师。

引用本文:

许爱玲，聂芳，汪娟娟，吕文豪，张雪云. GI-RADS分级联合血清CA-125鉴别附件区肿块良恶性的临床价值[J]. 中国临床医学影像杂志, 2018, 29(12): 881-883.
XU Ai-ling, NIE Fang, WANG Juan-juan, LV Wen-hao, ZHANG Xue-yun. The value of GI-RADS ultrasonographic stratification combined with serum CA-125 in diagnosis of adnexal masses. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(12): 881-883.

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http://www.jccmi.com.cn/CN/DOI:10.12117/jccmi.2018.12.011 或 http://www.jccmi.com.cn/CN/Y2018/V29/I12/881

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