[1]马俊明,尹萌辰,莫文,等.脊柱肿瘤不稳定SINS评分系统的可行性和可重复性研究[J].中国中医骨伤科杂志,2016,24(09):18-21.
　MA Junming,YIN Mengchen,MO Wen,et al.Study of Reliability and Reproducibility of SINS Classification System for Spinal Tumor[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(09):18-21.
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脊柱肿瘤不稳定SINS评分系统的可行性和可重复性研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年09期
页码:
18-21
栏目:
临床研究
出版日期:
2016-09-01

文章信息/Info

Title:
Study of Reliability and Reproducibility of SINS Classification System for Spinal Tumor
文章编号:
1005-0205(2016)09-0018-04
作者:
马俊明1;  尹萌辰1;  莫文1;  陈妮1;  薛瑞瑞1;  马传风1;  童正一1;  夏烨1;  俞志兴1
1.上海中医药大学附属龙华医院骨伤科(上海,200030)
Author(s):
MA Junming1;  YIN Mengchen1;  MO Wen1;  CHEN Ni1;  XUE Ruirui1;  MA Chuanfeng1;  TONG Zhengyi1;  XIA Ye1;  YU Zhixing1
1.Department of Orthopaedics,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200030,China.
关键词:
脊柱不稳定评分系统;  可信度;  可重复性
Keywords:
SINS scoring system;  reliability;  reproducibility
分类号:
R738.1
文献标志码:
A
摘要:
目的:分析SINS评分系统在观察者间的可信度和观察者内的可重复性,评价其临床运用价值。方法:选取5名具有一定临床经验的脊柱外科医生,并对这5名脊柱外科医生进行脊柱肿瘤不稳定SINS评分系统的培训。使用SINS评分系统对30例患者进行评分。3个月后进行重复分析。对于SINS评分系统中的分类项目采用多因素Fless's k系数进行一致性检验,评价者间和评价者内的研究结果采用Cohen's k系数进行一致性检验。结果:可信度检验k为0.866,其中受累节段及疼痛的一致性为“极佳”,脊柱力线情况、椎体塌陷情况、后外侧结构受累程度的一致性均为“中度”,骨损伤类型的一致性最差,为“低度”。可重复性检验k为0.906,其中受累节段及疼痛的一致性为“极佳”,脊柱力线情况、椎体塌陷情况、后外侧结构受累程度的一致性均为“高度”,骨损伤类型的一致性为“中度”。结论:SINS评分系统具有较好的可信度及可重复性,在临床上可推广使用,并且在脊柱肿瘤的治疗决策制定上具有较大的意义。
Abstract:
Objective:To evaluate the reliability and reproducibility of SINS scoring system and explore its clinical application value. Methods:All 30 patients were enrolled. Five spine surgeons who have certain clinical experience were selected. For SINS scoring system classification,we use Fless's k value to check the coefficient consistency for multi-factor. We use Cohen's k value to check the coefficient consistency among evaluators and evaluator's results. After 3 months,we repeated the analysis. Results:The reliability credibility test k value is 0.866. The location and pain were “excellent”. The radiographic spinal alignment and vertebral body collapse,the posterolateral involvement of spinal elements were “moderate”,and the bone lesion was “light”. Reproducibility credibility test k value is 0.906. The location and pain were “excellent”. The radiographic spinal alignment and vertebral body collapse,the posterolateral involvement of spinal elementsare were “highly”,and the bone lesion was “light”. Conclusions:SINS scoring system is reliable and reproducible,which can be promoted in clinical use. It is of high significance on the treatment of spinal tumor decision-making.

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备注/Memo

备注/Memo:
基金项目:上海市自然科学基金项目(13ZR1442100) 上海市高级中西医结合人才培养项目(ZY3-RCPY- 4-2034)
更新日期/Last Update: 2016-09-15