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目的 :探讨超声检查及血清CA12 5测定对子宫腺肌病的诊断价值。方法 :通过对 12 0例疑为子宫腺肌病或子宫肌瘤患者 ,行术前腹部B超和血清CA12 5测定 ;术后切下组织送病理学检查确诊并与之对照。结果 :经术后病理学证实 :子宫腺肌病组术前血清CA12 5检测阳性率 74 .4 % ,特异度 73.5 % ;B超诊断该病的灵敏度5 5 .8% ,特异度 6 1.8% ;以两种方法联合检测均阳性为诊断标准 ,则灵敏度 5 2 .3% ,特异度 99.9%。结论 :测定血清CA12 5水平 ,对子宫腺肌病是较好的辅助诊断指标 ;B超检查对该病有一定诊断价值 ;两者联合检测能提高诊断的正确性 ,且方法简便、快捷、无创伤 ,是目前较为实用的诊断方法。
Objective: To investigate the diagnostic value of ultrasonography and serum CA12 5 in adenomyosis. Methods: 120 cases of suspected adenomyosis or uterine fibroids patients underwent preoperative abdominal B ultrasound and serum CA12 5 determination; after resection of the organization sent to pathological examination confirmed and compared with the control. Results: The postoperative pathology confirmed: preoperative serum CA12 5 detection positive rate of 74.4%, specificity 73.5%; sensitivity of B ultrasound diagnosis of the disease was 55.8%, specificity of 6 1.8% ; The two methods were tested positive for the joint detection, the sensitivity of 52.3%, specificity of 99.9%. CONCLUSION: The serum CA12 5 level is a good diagnostic value for adenomyosis. B-ultrasound can be used to diagnose the disease. The combination of the two methods can improve the correctness of diagnosis, and the method is simple, rapid, and non-invasive Trauma is the more practical diagnostic method.