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超声造影结合血清CA125在卵巢肿瘤定性诊断中的应用价值

张煜 周静 陈晓梅 李明星

中国医疗设备2016,Vol.31Issue(2):67-69,66,4.
中国医疗设备2016,Vol.31Issue(2):67-69,66,4.DOI:10.3969/j.issn.1674-1633.2016.02.016

超声造影结合血清CA125在卵巢肿瘤定性诊断中的应用价值

Clinical Value of the Contrast-enhanced Ultrasonography Combined with Serum CA125 in the Qualitative Diagnosis of Ovarian Masses

张煜 1周静 1陈晓梅 1李明星1

作者信息

  • 1. 泸州医学院附属医院 超声科,四川泸州 646000
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摘要

Abstract

Objective To verify the clinical value of the contrast-enhanced ultrasonography (CEUS) combined with serum CA125 in the qualitative diagnosis of ovarian masses.Methods The ifndings of color Doppler, CEUS, and serum CA125 levels of 52 ovarian masses were retrospectively analyzed. The results were compared with pathological ifndings to evaluate its diagnosing effectiveness.Results The sensitivity, specificity, and accuracy in the diagnosis of benign and malignant ovarian masses were 88.5%, 84.6%, 86.5% with color Doppler, and 96.3%, 96.0%, 96.2% with CEUS combined with serum CA125 respectively. The Youden index indicated that CEUS combined with serum CA125 had better diagnosing effectiveness and the difference was statically signiifcant (0.731vs 0.823,P<0.05). CEUS combined with serum CA125 had good consistency with the pathological examination in the qualitative diagnosis of ovarian masses (Kappa=0.9228).Conclusion The real-time contrast-enhanced ultrasonography has more advantages over color Doppler in demonstrating the blood vessel perfusion within ovarian tumors. When combined with detection of serum CA125, it can be used to improve the accuracy of early diagnosis of ovarian masses.

关键词

卵巢肿瘤/超声造影/血清CA125

Key words

ovarian masses/contrast-enhanced ultrasonography/serum CA125

分类

医药卫生

引用本文复制引用

张煜,周静,陈晓梅,李明星..超声造影结合血清CA125在卵巢肿瘤定性诊断中的应用价值[J].中国医疗设备,2016,31(2):67-69,66,4.

中国医疗设备

OACSTPCD

1674-1633

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