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肾囊肿指数与Bosniak分类法对肾囊性肿块诊断价值的比较

[Comparison of diagnostic value between renal cyst index and Bosniak classification in cystic renal masses].

作者信息

Cheng J, Li Y H, Huang J Q, Xu P R, Xiang Z Y, He M K, Guo J M, Wang H

机构信息

Department of Urology, Zhongshan-Xuhui Hospital, Fudan University/Xuhui District Central Hospital, Shanghai 200031, China.

Department of Urology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2021 Sep 28;101(36):2906-2908. doi: 10.3760/cma.j.cn112137-20210202-00327.

Abstract

A total of 106 patients who were diagnosed with Bosniak catergory ⅡF or Ⅲ cystic renal masses (CRM) and underwent surgery in Zhongshan-Xuhui Hospital and Xuhui District Central Hospital between January 2018 and December 2019 were retrospectively analyzed. The diagnostic accuracy of renal cyst index (RCI) and Bosniak classification system was compared by analyzing the relevant parameters including the sensitivity and specificity. There were 62 males and 44 females, with a median age of 56 years old. Among the 106 CRM, 72 were benign and 34 were malignant. The sensitivity and specificity of RCI was 94.12% and 81.94%, respectively, while the sensitivity and specificity of Bosniak classification system was 73.53% and 80.56%, respectively. Chi-square test revealed that the sensitivity of RCI was significantly higher than that of Bosniak classification system (=0.023). The current study indicates that RCI is a simple and feasible method which can provide quantitative evaluation for predicting characteristics of CRM.

摘要

对2018年1月至2019年12月期间在中山-徐汇医院和徐汇区中心医院诊断为BosniakⅡF或Ⅲ类囊性肾肿块(CRM)并接受手术的106例患者进行回顾性分析。通过分析包括敏感性和特异性在内的相关参数,比较肾囊肿指数(RCI)和Bosniak分类系统的诊断准确性。其中男性62例,女性44例,中位年龄56岁。106例CRM中,良性72例,恶性34例。RCI的敏感性和特异性分别为94.12%和81.94%,而Bosniak分类系统的敏感性和特异性分别为73.53%和80.56%。卡方检验显示,RCI的敏感性显著高于Bosniak分类系统(P=0.023)。本研究表明,RCI是一种简单可行的方法,可为预测CRM的特征提供定量评估。

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