恶性肿瘤风险指数在卵巢恶性肿瘤术前诊断中的价值

Value of malignancy risk index in pre-operative diagnosis of ovarian malignant tumors

回顾性总结165例卵巢肿瘤患者临床资料,分别以绝经状态、超声评分、血清CA125及恶性肿瘤风险指数对卵巢肿瘤的良、恶性进行预测,结果表明绝经后状态的敏感性为68％,特异性为64％,阳性预测值为53％;超声评分≥2的上述指标分别为77％、84％、70％;血清CA125>35 U/ml的上述指标分别为76％、86％、73％;恶性肿瘤风险指数(RMI)>200的上述指标分别为72％、92％、83％。这提示RMI较其他指标对卵巢肿瘤良、恶性的预测更为准确,具有较大的临床应用价值。

Totally 165 women received surgical excision of ovarian masses were studied. The sensitivity,specificity ,and positive predictive value of serum CA125,ultrasound score,menopausal status,and risk of malignancy index(RMI) were used to diagnoze ovarian malignant tumor. It was found that the sensitivity .specificity and positive predictive value of menopausal status were 68%,64% and 53% respectively;those of ultrasound socre>2 were 77%,84% and 70%;of CA125>35 U/ml were 76%,86% and 73%;and of RM1>200 were 72%,92% and 93%. Results showed that the RMI was more accurate than menopausal status, ultrasound score, and CA125 in diagnosing cancer. It can be introduced easily into clinical practice.