摘要
目的评价彩色多普勒超声联合血清CA125检测在卵巢癌诊断及鉴别诊断中的价值。方法回顾性分析132例卵巢肿瘤的临床特点、超声检查结果及血清CA125水平,并与手术病理诊断结果作对照。结果本组超声诊断卵巢癌符合率87.5%,CA125诊断符合率91.7%,联合诊断符合率100.0%。Weber评分、CDFI血流分级、RI及CA125诊断卵巢肿瘤的敏感性分别为87.5%、79.2%、83.3%、91.7%,特异性分别为94.4%、97.2%、95.4%、94.4%,准确性分别为93.2%、93.9%、93.9%、95.5%。四者联合诊断的敏感性分别为100.0%,特异性为98.1%,准确性为98.5%。结论彩色多普勒超声检查联合血清CA125检测诊断卵巢癌准确、快捷、方便,为卵巢癌诊断提供较可靠依据。
Objective To evaluate the value of color Doppler ultrasonographic measurements combined with serum CA125 detection in ovarian cancer diagnosis and differential diagnosis.Methods Retrospective analysis of 132 cases of the clinical characteristics of ovarian tumors,ultrasound examination and serum CA125 level was performed and compared with the results of pathological diagnosis and surgical controls.Results The positive coincidence rate of the ultrasound diagnosis of ovarian cancer was 87.5%,that of the detection of CA125was 91.7%,and the rate of co-diagnosis was 100.0%.The sensitivity of ovarian tumors diagnosis by Weber score,CDFI flow classification,RI,and the CA125 detection was 87.5%,79.2%,83.3%,and 91.7%,respectively.The specificity of them was 94.4%,97.2%,95.4%,94.4%,respectively,and the accuracy rate was 93.2%,93.9%,93.9% and 95.5%.The sensitivity of the four kinds of diagnosis was 100.0%,the specificity,98.1%,and the accuracy rate was 98.5%.Conclusion Color doppler examination combined with CA125 detection for ovarian cancer diagnosis is accurate,fast and convenient.It provided a reliable base for the diagnosis of ovarian cancer.
出处
《实用临床医学（江西）》
CAS
2010年第1期86-88,100,F0004,共5页
Practical Clinical Medicine
