基于O-RADS分类的附件肿块超声诊断教学实践与体会

Teaching Practice and Experience of Ultrasound Diagnosis for Adnexal Masses Based on O-RADS

摘要: 美国放射学会(ACR)制定的卵巢–附件影像报告和数据系统(O-RADS)超声报告系统，显著提升了附件包块管理的规范化程度与临床效率。然而，当前超声教学面临关键瓶颈：师资能力滞后问题普遍存在，多数带教医师未接受系统化O-RADS分类培训，导致教学中难以融合标准术语与风险分层逻辑，使得O-RADS分类应用率较低或临床实践中易出现“分类生疏化”(如混淆分类判定)与“报告碎片化”(描述与分类脱节)，严重制约青年医师诊疗决策能力发展。本文基于多年超声教学实践，就超声医师掌握O-RADS分类在附件肿块超声诊断的教学方式进行探讨，旨在突破师资培训瓶颈，筑牢超声医师标准化诊断根基。

Abstract: The Ovarian-Adnexal Imaging Reporting and Data System (O-RADS) ultrasound reporting system, developed by the American College of Radiology (ACR), has significantly enhanced the standardization of adnexal mass management and clinical efficiency. However, current ultrasound teaching faces critical bottlenecks: the widespread issue of lagging faculty competence. Most teaching physicians have not received systematic O-RADS classification training, making it difficult to integrate standard terminology and risk stratification logic into teaching. This leads to low application rates of O-RADS classification in clinical practice, or frequent occurrences of “classification unfamiliarity” (e.g., confusion in classification determination) and “report fragmentation” (disconnection between description and classification), which severely hinder the development of diagnostic decision-making capabilities among young physicians. Based on years of ultrasound teaching practice, this article discusses teaching methods for ultrasound physicians to master O-RADS classification in adnexal mass ultrasound diagnosis, aiming to break through the bottleneck of faculty training and consolidate the foundation of standardized diagnosis for ultrasound physicians.