Lin Dongfang, Yang Weiqiang, Guo Xinghua, Cao Junyan, Lv Qing, Jin Ou, Wu Yuqiong, Gu Jieruo
Department of Rheumatology, 3rd Affliated Hospital of Sun Yet-Sen University Guangzhou 510630, Guangdong Province, China.
Department of ENT, Peking University Shenzhen Hospital Shenzhen 518000, Guangdong Province, China.
Int J Clin Exp Med. 2015 Oct 15;8(10):19065-71. eCollection 2015.
To choose the best ultrasound scoring system for clinic practice, ultrasound was performed for 94 cases with suspected primary Sjogren's syndrome (pSS) and 3 US scoring systems created by Hocevar, Salaffi, Millic were employd to assess for bilateral parotid glands and submandibular glands. The US evaluation was blinded to the final diagnosis of pSS according to 2002 classification criteria. 44 cases were finally diagnosed with pSS, 14 were diagnosed with secondary Sjogren's syndrome, and 36 were diagnosed with Sicca syndromes. Hocevar's method had the best likelihood ratio and accuracy, but Milic's scoring system was recommended for its excellent balance between the diagnostic value and inter/intra observation agreement value.
为选择适用于临床实践的最佳超声评分系统，对94例疑似原发性干燥综合征（pSS）患者进行了超声检查，并采用Hocevar、Salaffi、Millic创建的3种超声评分系统对双侧腮腺和颌下腺进行评估。根据2002年分类标准，超声评估对pSS的最终诊断结果不知情。最终44例被诊断为pSS，14例被诊断为继发性干燥综合征，36例被诊断为干燥综合征。Hocevar方法具有最佳的似然比和准确性，但鉴于Milic评分系统在诊断价值与组间/组内观察一致性价值之间具有出色的平衡，故推荐使用该评分系统。
