经阴道超声及血清CA199、CA125水平对子宫腺肌病的诊断价值  

Diagnostic Value of Transvaginal Ultrasonography and Serum CA199 and CA125 Levels in Adenomyosis

作　　者：杨冬冬 YANG Dongdong(Department of Ultrasound,Shangqiu Maternal and Child Health Hospital,Shangqiu Henan 476000)

机构地区：[1]商丘市妇幼保健院超声科,河南商丘476000

出　　处：《医学临床研究》2025年第1期82-84,共3页Journal of Clinical Research

摘　　要：【目的】探讨经阴道超声及血清糖类抗原(CA)199、CA125水平对子宫腺肌病的诊断价值。【方法】选取2021年1月至2022年12月本院收治的124例子宫腺肌病疑似患者,统计病理学诊断结果,检测患者血清CA199、CA125水平,比较经阴道超声及血清CA199、CA125水平单一及联合对子宫腺肌病的诊断效能。【结果】在124例子宫腺肌病疑似患者,经病理诊断为子宫腺肌病70例、非子宫腺肌病54例。子宫肌腺症患者血清CA199、CA125水平均高于非子宫肌腺症患者(P<0.05)。CA125水平诊断子宫腺肌病的结果与病理诊断结果一致性中等,经阴道超声检查及血清CA199、CA125水平联合诊断子宫腺肌病的结果与病理诊断结果一致性较高。经阴道超声检查及血清CA199、CA125水平联合对子宫腺肌病诊断的准确度高于各指标单一诊断,差异有统计学意义(P<0.05)。【结论】经阴道超声检查及血清CA199、CA125水平对子宫腺肌病的诊断价值较高,但各指标联合的诊断价值更高,可为临床诊治子宫腺肌病提供参考。【Objective】To evaluate the diagnostic value of transvaginal ultrasonography and serum levels of carbohydrate antigen(CA)199 and CA125 in adenomyosis.【Methods】A total of 124 suspected patients with adenomyosis admitted to our hospital from January 2021 to December 2022 were selected,the pathological diagnosis results were statistically analyzed,the serum CA199 and CA125 levels were detected,and the diagnostic efficacy of single and combined transvaginal ultrasound and serum CA199 and CA125 levels in adenomyosis was compared.【Results】Among the 124 suspected cases of adenomyosis,70 cases were diagnosed as adenomyosis and 54 cases were diagnosed as non-adenomyosis.Serum levels of CA199 and CA125 in patients with adenomyosis were higher than those in patients without adenomyosis(P<0.05).The results of CA125 in the diagnosis of adenomyosis were moderately consistent with the pathological diagnosis,and the results of the combined diagnosis of adenomyosis were highly consistent with the pathological diagnosis.The accuracy of the combined diagnosis of adenomyosis by transvaginal ultrasonography and serum CA199 and CA125 levels was higher than that of single diagnosis of each index,and the difference was statistically significant(P<0.05).【Conclusion】Transvaginal ultrasonography and serum CA199 and CA125 levels are of high diagnostic value in adenomyosis,but the combined value of all indexes is higher,which can provide reference for clinical diagnosis and treatment of adenomyosis.

关 键 词：平滑肌瘤 阴道 超声检查 CA125抗原 CA199抗原 

分 类 号：R711.71[医药卫生—妇产科学]