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目的研究CT和CA125联合检查在卵巢占位病变诊断及鉴别诊断中的价值。方法回顾性分析病理证实的143例卵巢占位病变的CT特征及CA125值,并用统计学方法分析CT、CA125、CT+CA125对卵巢占位病变的诊断效率。结果 CT、CA125、CT和CA125联合检查对卵巢占位病变诊断敏感分别为80.3%,88.5%,96.7%,特异度分别为87.8%,61.0%,85.4%,准确度分别为84.6%,72.7%,90.2%,CT和CA125联合检查比单纯CT诊断的敏感度高,比单纯CA125的特异度及准确度高,P<0.05,有统计学意义。结论 CT和CA125联合检查比单纯CT检查能提高卵巢占位病变诊断的敏感度、比单纯CA125检查能提高特异度、准确度。
Objective To study the value of combined examination of CT and CA125 in the diagnosis and differential diagnosis of ovarian space-occupying lesions. Methods The CT features and CA125 values of 143 cases with ovarian lesions confirmed by pathology were retrospectively analyzed. The diagnostic efficiency of CT, CA125 and CT + CA125 in the diagnosis of ovarian lesions was analyzed by using statistical methods. Results The sensitivity of combined examination of CT, CA125, CT and CA125 were 80.3%, 88.5% and 96.7% respectively, the specificity was 87.8%, 61.0% and 85.4% respectively, the accuracy was 84.6% and 72.7% , 90.2%. The combined examination of CT and CA125 was more sensitive than simple CT and higher than the specificity and accuracy of CA125 alone (P <0.05). Conclusion CT and CA125 combined examination can improve the diagnostic sensitivity of space-occupying lesions than simple CT examination, which can improve the specificity and accuracy than simple CA125 examination.