【摘要】 目的:探讨以绝经状态,血清CA125和超声评分3者结合建立的恶性危险指数对附件包块术前诊断中的应用进行评价。方法:针对2001-01/2008-06附件包块患者475例,计算3种恶性危险指数判断恶性肿瘤的敏感度、特异度;统计图形用ROC曲线及ROC曲线下面积来评价诊断方法。结果:三种RM I的ROC曲线下面积均高于单一诊断指标,以200为临界值,RM I1,RM I2,RM I3的敏感度分别是57.1%、62.3%、59.0%。结论:恶性危险指数是诊断附件恶性肿瘤的良好指标,利于术前进行治疗方案的选定。更多还原

【Abstract】 Objective:To evaluate women with adnexal masses in the the preoperative period by the risk malignancy index(RMI) based on the combination of menopausal status,serum CA(125) and ultrasound findings.Method:The sensitivity and specifity of 3 kinds of RMI were analyzed according to the data of 475 women with adnexal masses from January 2001 to June 2008;the methods of the diagnosis were evaluated by the ROC(receiver operating characteristic curve) and AUCROC(the area under ROC curve).Results:The AUCROC of the three kinds of RMI were higher than only single diagnosis index;Using 200 as cut off,the sensitivity of RMI1,RMI2,RMI3 was 57.1%,62.3%,and 59.0%.Conclusion:RMI is a good index in the diagnosis of adnexal malignant tumor,benefit to choose the preoperative treatment plan.更多还原