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超声联合CA125、CA199检测对卵巢肿瘤鉴别的临床价值
王倩,赵小丽,郭萍,陈英艳,杨楠
0
(西安交通大学第二附属医院体检科)
摘要:
【摘要】目的 探讨超声联合CA125、CA199检测对卵巢肿瘤鉴别的临床价值。方法 选择2015年6月~2016年7月确诊并来院进行治疗的卵巢肿瘤患者98例,所有患者均经超声检查并抽取患者的空腹静脉血,检测其血清糖类抗原CA125、CA199水平。比较患者采用单一超声检查和超声联合CA125、CA199检测对判断卵巢肿瘤的准确率,同时观察CA125、CA199在良性与恶性肿瘤的检测水平。结果 经超声检出的卵巢肿瘤准确率为89.8%,低于超声联合CA125、CA199肿瘤标志物检测的准确率96.9%(P<0.05);超声血流分级和良性肿瘤患者的血清CA125、CA199水平均明显的低于恶性肿瘤患者的水平,差异均有统计学意义(P<0.05)。结论 超声检查联合CA125、CA199检测可明显提高卵巢肿瘤的诊断,准确率,降低卵巢肿瘤良恶性的误诊率,操作简单易行,具有较好的临床应用价值。
关键词:  超声检查  CA125  CA199  卵巢肿瘤
DOI:
基金项目:陕西省自然科学基金(200620025)
Clinical value of ultrasonic testing with combined detection CA125 and CA199 for diagnosis of ovarian malignant malignant
WANG Qian,ZHAO Xiaoli,GUO Ping,CHEN Yingyan,YANG Nan
(Department of Physical Examination, The Second Affiliated Hospital of Xi'an Jiao Tong University)
Abstract:
【Abstract】Objectiv eTo study the clinical value of ultrasonic testing with combined detection CA125 and CA199 for diagnosis of ovarian malignant malignant. Methods 98 patients of ovarian tumors from June 2015 to July 2016 in our hospital were selected as research objects. The serum levels of CA125 and CA199 levels were detected. The accuracy of single ultrasound and ultrasonic combined CA125 and CA199 were compared. Results The ultrasonic detection accuracy rate of ovarian tumor was 89.8%, lower than ultrasonic combined CA125 and CA199 tumor markers detection accuracy (96.9%, P<0.05). The serum CA125 and CA199 of Ultrasonic blood flow classification of the patients with benign tumor were significantly higher than that of patients with malignant tumor (P<0.05). Coincidence rate of ultrasound combined CA125 and CA199 inspection was obviously higher than that of single ultrasonic inspection of coincidence rate (P<0.05). Conclusion Ultrasonic testing combined CA125 and CA199 examination in the diagnosis of ovarian tumors can improve the accuracy and reduce the misdiagnosis rate of benign and malignant ovarian tumors.
Key words:  Ultrasound examination  CA125  CA199  Ovarian tumors

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