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HPV联合肿瘤标志物检查在卵巢癌诊断中的价值分析

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目的 探讨人乳头瘤病毒(HPV)联合肿瘤标志物检查在卵巢癌诊断中的价值。方法 回顾性分析80例高度疑似卵巢癌患者的临床资料。按病理确诊结果分为卵巢癌组(47例)和良性肿瘤组(33例)。比较两组HPV检查和肿瘤标志物检查结果,绘制ROC曲线,比较不同检查方式在卵巢癌诊断中的敏感度和特异度。结果 卵巢癌组血清糖类抗原125(CA125)、糖类抗原199(CA199)、细胞角蛋白19片段(CYFRA 21-1)及HPV阳性率均高于良性肿瘤组,差异有统计学意义(P<0。05)。经ROC曲线分析,HPV联合肿瘤标志物检查在卵巢癌诊断中的价值高于CA125、CA199、CYFRA 21-1、HPV检查、肿瘤标志物,差异有统计学意义(P<0。05)。结论 HPV检查、肿瘤标志物检查以及二者联合对于卵巢癌都具有诊断价值,但HPV联合肿瘤标志物检查的敏感度和特异度更高,可进一步提高诊断效能。
Value analysis of HPV combined with tumor marker examination in the diagnosis of ovarian cancer
Objective To explore the value of human papillomavirus(HPV)combined with tumor marker testing in the diagnosis of ovarian cancer.Methods Retrospective analysis of clinical data from 80 highly suspected ovarian cancer patients.According to pathological diagnosis,they were divided into ovarian cancer group(47 cases)and benign tumor group(33 cases).Compare the results of two sets of HPV tests and tumor marker tests,draw ROC curves,and compare the sensitivity and specificity of different examination methods in the diagnosis of ovarian cancer.Results The positive rates of serum carbohydrate antigen 125(CA125),carbohydrate antigen 199(CA199),cytokeratin 19 fragment(CYFRA 21-1),and HPV in the ovarian cancer group were higher than those in the benign tumor group,and the differences were statistically significant(P<0.05).According to ROC curve analysis,the value of HPV combined with tumor markers in the diagnosis of ovarian cancer is higher than that of CA125,CA199,CYFRA 21-1,HPV examination,and tumor markers,and the difference is statistically significant(P<0.05).Conclusion HPV examination,tumor marker examination,and their combination have diagnostic value for ovarian cancer,but the sensitivity and specificity of HPV combined with tumor marker examination are higher,which can further improve diagnostic efficiency.

Hpv testTumor marker detectionOvarian cancer

陈小春

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泰州市第二人民医院 检验科,江苏 泰州 225300

HPV检查 肿瘤标志物检查 卵巢癌

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(3)
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