O-RADS分类系统评价卵巢-附件肿瘤的研究进展

O-RADS Classification System to Evaluate the Research Progress of Ovario-adnexal Tumors

超声是评估卵巢-附件病变的首选方法,准确地判断卵巢-附件肿瘤的良恶性,有助于为患者提供优化的临床治疗方案,使良性肿瘤避免不必要的过度手术,恶性肿瘤得以及时转诊,以减少其病死率。传统超声诊断依赖操作者经验,超声报告无统一的标准,造成超声医师之间及与临床医师间沟通存在困难,卵巢-附件影像报告与数据系统(ovarian adnexal reporting and data system,O-RADS)具有标准化词典,可统一超声报告术语,便于临床医师对超声报告的解读,同时,也有助于不同经验的超声医师对该分类方法的应用。为了使有卵巢-附件肿瘤的患者能够根据病变的良恶性风险进行适当的分诊,O-RADS内容不断进行修改及完善,以帮助超声医师对卵巢-附件肿瘤良恶性风险进行评估,本文通过结合国内外文献对O-RADS超声评分系统评价卵巢-附件肿瘤的应用及研究进行综述。

Ultrasound is the preferred method to evaluate ovaria-adnexal lesions,accurately judge the benign and malignant tumors of ovaria-adnexal tumors,and help to provide patients with optimized clinical treatment plans,so that benign tumors can avoid unnecessary excessive surgery,and malignant tumors can be referred in time to reduce their mortality.Traditional ultrasound diagnosis relies on operator experience,and there is no unified standard for ultrasound report,which leads to difficulties in communication between sonographers and clinicians.(ovarian adnexal reporting and data system)O-RADShas a standardized dictionary to unify the terms of ultrasound reports,making it easy for clinicians to interpret ultrasound reports.At the same time,it is also helpful for different experience sonographers to apply the classification method.In order to enable patients with ovario-adnexal tumors to be properly triaged according to the benign and malignant risk of the lesions,O-RADS content is constantly modified and refined to help sonographers assess the benign and malignant risk of ovario-adnexal tumors.In this paper,the application and research of O-RADS ultrasound scoring system in the evaluation of ovario-adnexal tumors were reviewed based on domestic and foreign literatures.