甲状腺肿触诊法可靠性辩析

Analysis on reliability and validity for goiter palpation

三位医生分别对２５５名儿童进行了甲状腺触诊检查，Ａ医生检出率为１５．６９％，Ｂ医生为３０．５９％，Ｃ医生为２１．５７％。Ａ与Ｂ医生甲肿率符合度（Ｋａｐｐａ值）是０．３２，Ａ与Ｃ医生符合度是０．４０，Ｂ与Ｃ医生符合度是０．２５，重复性差，可信程度低。三位医生触诊与“Ｂ超”检查结果比较，符合度分别为Ａ医生０．２１，Ｂ医生０．１１，Ｃ医生０．１４，符合度很低，真实性很差。作者对研究结果做了扼要讨论，并提供了相应的建议。

This paper reported the results of thyroid examination for 255 children by three doctors and the palpation results were compared with ultrasound.The goiter rate reported by Doctor A is 15.96%,Doctor B is 30.59%,and Doctor C is 21.57%,respectively.The concordances(Kappa Value) among the three doctors are low(Kappa=0.25￣0.40),indicating that the reliability of palpation method is low .The concordances between each of the three doctors and B ultyrasonography are very low (Kappa=0.11￣0.21),suggesting that the validity of the palpation is very poor.The results are discussed briefly,and suggestion is made by the authors.