论文部分内容阅读
选取卵巢上皮癌40例、宫颈癌13例、宫内膜癌13例、良性肿瘤50例和正常健康妇女50例,以探讨卵巢上皮细胞癌膜抗原(CA125)、乳酸脱氢酶(LDH)及同工酶、C-反应蛋白(CR)、唾液酸(SA)辅助诊断卵巢上皮癌的意义。结果:正常组血清CA125值(4×103±1.76×103u/L)及良性肿瘤组CA125值(15×103±8.24×103u/L)明显低于卵巢癌组(280×103±75×103u/L)(P<0.05);CA125辅助诊断卵巢上皮癌的敏感性(SS)为95%、阳性拟然比(PLR)为4.75、准确性(AC)为86%,明显高于宫颈癌的SS(85%)、PLR(4.25)、AC(80%)及宫内膜癌的SS(77%)、PLR(3.85)、AC(79%)。Ⅲ、Ⅳ期卵巢癌的CA125值(390×103±82×103u/L)明显高于Ⅰ、Ⅱ期卵巢癌的CA125值(210×103±75×103u/L)(P<0.05);CA125的SS、NPV、AC明显高于LDH、CR、SA、CR的SS、NPV、AC(P<0.05);CA125的SS明显高于LDH同功酶的SS77%(P<0.05)。结论:CA125辅助诊断卵巢上
40 cases of ovarian epithelial carcinoma, 13 cases of cervical cancer, 13 cases of endometrial carcinoma, 50 cases of benign tumors and 50 cases of normal healthy women were selected to investigate the expression of epithelial ovarian cancer cell membrane antigen (CA125), lactate dehydrogenase (LDH) and Isoenzymes, C-reactive protein (CR), sialic acid (SA) in the diagnosis of epithelial ovarian cancer significance. Results: Serum CA125 levels (4 × 103 ± 1.76 × 103u / L) and CA125 values (15 × 103 ± 8.24 × 103u / L) in benign tumors were significantly lower in the normal group than those in the ovarian cancer group (280 × 103 ± 75 × 103u / L) (P <0.05). The sensitivity (CA) of CA125 in the diagnosis of epithelial ovarian cancer was 95%, the PLR was 4.75 and the accuracy was 86% , Significantly higher than SS (85%), PLR (4.25), AC (80%) and SS (77%), PLR (3.85%) and AC (79%) of cervical cancer. The CA125 values of stage Ⅲ and stage Ⅳ ovarian cancer (390 × 103 ± 82 × 103u / L) were significantly higher than those of stage Ⅰ and Ⅱ ovarian cancer (210 × 103 ± 75 × 103u / L) (P0.05) The SS, NPV and AC of CA125 were significantly higher than those of SS, NPV and AC of LDH, CR, SA and CR (P <0.05). The SS of CA125 was significantly higher than SS77% of LDH isoenzyme (P <0.05). 05). Conclusion: CA125 assists in diagnosis of ovary