gata脊柱结分型的可信度及可重复性研究.pdfVIP

摘 要 GATA 脊柱结核分型的可信度和可重复性研究 研究生：陈洪涛 导师：金格勒 摘 要 目的：可信度和可重复性是评估脊柱结核分型一致性的重要指标，本文拟对 GATA 脊柱结核分型的一致性作研究以为临床应用提供一定参考。方法：四名脊柱外 科医师以GATA 脊柱结核分型为标准独立对 100 例脊柱结核患者进行两次分型，通 过计算平均百分比确定分型一致性，应用Kappa 值和Spearman 系数判定可靠性和可 重复性。结果：两次分型中，可信度的结果：椎体坍陷、椎旁脓肿、脊柱稳定性、 脊柱后凸畸形、矢状面指数、椎间盘破坏、分型的平均百分比为61.92%、91.83%、 63.33%、60.08%、78.25%、82%、52.33%；Kappa 值分别为0.430 、0.519、0.317、 0.38、0.536、 0.531 、0.343 ；Spearman 相关系数分别为 0.392 、0.526、0.392、0.503、 0.569、0.582、0.576 。可重复性分析结果：椎体坍陷、椎旁脓肿、脊柱稳定性、脊柱 后凸畸形、矢状面指数、椎间盘破坏、分型的平均百分比为72.75%、91%、85.25%、 70.75%、88.75%、81.75%、73%；Kappa 值分别为0.574、0.453、0.627、0.523、0.724、 0.584、0.591 ；Spearman 相关系数分别为0.748、0.473、0.632、0.66、0.730、0.613、 0.762. 结论：GATA 脊柱结核分型具有良好的可重复性，但可信度较差。 关键词：GATA 脊柱结核分型；可信度；可重复性 —1— 新疆医科大学医学硕士学位论文 Intra-observer Reliability and Inter-observer Reproducibility of GATA Classification for Spine tuberculosis Postgraduate: CHEN Hong –Tao Supervisor: Prof. JIN Ge-le Abstract Objective: To determine the reliability and reproducibility of GATA classification for spine tb using clinical/radiographs data that had not been premeasured. Methods : A total of 100 case of spine tb were distributed to 4 attending spine surgeons . including clinical/radiographic data, details of the GATA classification, and a evaluating sheet in which cases would be evaluated using the system. The results were determined by calculating the average percentage of intra-observer and inter-observer agreement . Reliability and reproducibility was quantified using kappa coefficients and spearman rank-order correlation. Results : Inter-rater rel