CAJ | 학술논문

目的探讨CA125与EMAb测定联合经阴彩超对子宫腺肌病诊断的价值。方法经阴彩超诊断为子宫腺肌病或子宫肌瘤的患者136例，测定血清EMAb及CA125，经病理确诊，子宫腺肌病76例，子宫肌瘤60例。对比CA125、EMAb及经阴彩超单独使用以及联合时的敏感性及特异性。结果腺肌病组CA125及EMAb阳性率均明显高于肌瘤组，差异有显著性(<0.01)；单独经阴彩色多普勒检查敏感性为76.32%，特异性为90%。结论①经阴彩超对子宫腺肌病的诊断具有一定价值，联合检测血清CA125及EMAb，可提高诊断准确率；②三种方法联合使用有利于子宫腺肌病与子宫肌瘤的鉴别诊断。
목적탐토CA125여EMAb측정연합경음채초대자궁선기병진단적개치。방법경음채초진단위자궁선기병혹자궁기류적환자136례，측정혈청EMAb급CA125，경병리학진，자궁선기병76례，자궁기류60례。대비CA125、EMAb급경음채초단독사용이급연합시적민감성급특이성。결과선기병조CA125급EMAb양성솔균명현고우기류조，차이유현저성(<0.01)；단독경음채색다보륵검사민감성위76.32%，특이성위90%。결론①경음채초대자궁선기병적진단구유일정개치，연합검측혈청CA125급EMAb，가제고진단준학솔；②삼충방법연합사용유리우자궁선기병여자궁기류적감별진단。
Objective To investigate the value of serum CA125 and EMAb combined with transvaginal color doppler sonography in diagnlsing adenlmyosin. Methods Slected 136 patients who were diagnosised adenomyosis or myoma of uterus by vaginal color doppler,determined serum CA125 and EMAb before operations,and there were 76 patients were diagnosed adenomyosis and 60 patients were diagnosed myoma of uterus by pathological examination after the operation.Compeared the sensitive and specific of serum CA125、EMAb、vaginal color doppler alone and the three methods combined.Results The positive rate of CA125 and EMAb before operation in the adenomyosis group was markedly elevated than that in myoma of uterus group.The dif erence was statistical y significant ( <0.01).The sensitiveness of only by vaginal color doppler was 76.32%,and the specificity was 90%.Conclusion ①The vaginal color doppler has certain value of the primary diagnosis of adenomyosis,and it can diagnosed adenomyosis if CA125、EMAb and vaginal color doppler jointed.②The joint detection of CA125、EMAb and vaginal color Doppler can improve the dif erential diagnosis of adenomyosis and myoma of uterus.