超声、CT、MRI和血清CA125对卵巢癌诊断的对比分析

发布时间：2018-01-16 10:22

本文关键词：超声、CT、MRI和血清CA125对卵巢癌诊断的对比分析　出处：《河北医科大学学报》2017年03期 　论文类型：期刊论文

【摘要】：目的对超声、CT、MRI及血清CA125在卵巢癌中的诊断效果予以对比分析。方法随机选取疑似卵巢癌患者156例,对其进行超声、CT、MRI及血清CA125检查,分析各种诊断方法的敏感度、特异度、准确度。以病理结果这一金标准判定为卵巢癌患者128例,分别对4种诊断方法相互之间进行比较分析,判定诊断方法的准确度。结果以手术组织病理结果作为金标准,CT及MRI检查方法诊断卵巢癌的敏感度、特异度、准确度均明显高于超声及血清CA125检查方法。结论超声、CT、MRI及血清CA125几种诊断方法具有各自的优缺点,CT及MRI诊断准确度更高。在实际诊断过程中,可以将各种诊断方法综合应用,以便及时正确地作出诊断,这对于降低患者的病死率具有非常重要的意义。
[Abstract]:Objective to compare and analyze the diagnostic effect of CT MRI and serum CA125 in ovarian cancer. Methods 156 suspected ovarian cancer patients were randomly selected and performed ultrasound CT. The sensitivity, specificity and accuracy of various diagnostic methods were analyzed by MRI and serum CA125. According to the gold standard of pathological results, 128 cases of ovarian cancer were diagnosed. The accuracy of the four diagnostic methods were compared and analyzed respectively. Results the sensitivity of CT and MRI in the diagnosis of ovarian cancer was determined by using the pathological results of surgical tissues as the golden standard. The specificity and accuracy of these two methods were significantly higher than those of ultrasound and serum CA125. Conclusion the diagnostic methods of CT MRI and serum CA125 have their own advantages and disadvantages. The diagnostic accuracy of CT and MRI is higher. In the process of actual diagnosis, all kinds of diagnostic methods can be comprehensively applied in order to make diagnosis correctly and timely, which is of great significance to reduce the mortality of patients.
【作者单位】：河北省保定市第二医院放射科;河北省保定市第二医院妇产科;河北大学附属医院妇产科;
【基金】：河北省医学科学研究重点课题(20130370)
【分类号】：R737.31;R445;R730.44
【正文快照】： 卵巢癌作为一种妇科恶性肿瘤,早期病变不易发现,晚期也缺乏有效的治疗手段,因此卵巢恶性肿瘤致死率居妇科恶性肿瘤首位,已成为严重威胁妇女生命和健康的主要肿瘤[1]。患者发病早期通常没有明显的症状,很多患者确诊时已经是晚期,若能够及早为患者作出正确的诊断并实施有效的治

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