首页|肿瘤标志物联合检测对妇科肿瘤的诊断价值分析

肿瘤标志物联合检测对妇科肿瘤的诊断价值分析

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目的 探讨妇科肿瘤诊断中采取肿瘤标志物联合检测的效果.方法 选取本院收治的64例妇科肿瘤患者为研究对象,根据术后患者病理诊断结果分为良性肿瘤组(n=32)与恶性肿瘤组(n=32),再选择医院同期妇科健康体检人员为健康参照组(n=32),3组人员均接受CEA、CA125与CA199检测,分析各组指标水平与联合指标检测的诊断效能.结果 恶性肿瘤组CEA、CA125与CA199水平分别为(9.84±1.48)ng/ml、(198.16±17.38)IU/ml、(85.47±7.49)IU/ml,高于良性肿瘤组与健康参照组,且良性肿瘤组患者CEA、CA125与CA199水平高于健康参照组(P<0.05).联合检测诊断灵敏度为78.13%(25/32),明显高于CEA、CA125、CA199单独检测,联合检测诊断特异度为53.13%(17/32),明显高于CEA、CA199单独检测(P<0.05),联合检测诊断与CA125特异度比较则无差异(P>0.05).结论 妇科肿瘤患者的肿瘤标志物均有不同程度的升高,恶性肿瘤患者的标志物水平更高,通过联合指标检测能够明显提高妇科肿瘤的阳性检出率,具有较高的诊断效能,值得临床推广与应用.
Analysis of the diagnostic value of combined detection of tumor markers in gynecological tumors
Objective To explore the effectiveness of using tumor marker combined detection in the diagnosis of gynecological tumors.Methods 64 gynecological tumor patients admitted to our hospital were selected as the research subjects.According to the pathological diagnosis results of postoperative patients,they were divided into benign tumor group(n=32)and malignant tumor group(n=32).Then,gynecological health examination personnel in the same period of the hospital were selected as the health reference group(n=32),and all three groups received CEA,CA125,and CA199 testing.The diagnostic efficacy of each group's indicator level and combined indicator testing was analyzed.Results The levels of CEA,CA125,and CA199 in the malignant tumor group were(9.84±1.48)ng/ml,(198.16±17.38)IU/ml,and(85.47±7.49)IU/ml,respectively,higher than those in the benign tumor group and the healthy control group.Moreover,the levels of CEA,CA125,and CA199 in the benign tumor group were higher than those in the healthy control group(P<0.05).The diagnostic sensitivity of the combined test was 78.13%(25/32),significantly higher than that of CEA,CA125,and CA199 alone.The diagnostic specificity of the combined test was 53.13%(17/32),significantly higher than that of CEA and CA199 alone(P<0.05).There was no difference in the specificity between the combined test and CA125 alone(P>0.05)).Conclusion Tumor markers in patients with gynecological tumors have increased to varying degrees,with higher levels in patients with malignant tumors.Combined indicator testing can significantly improve the positive detection rate of gynecological tumors and has high diagnostic efficacy,which is worthy of clinical promotion and application.

Tumor markersJoint testingGynecological tumorsDiagnostic value

陈玉梅、王国平

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仪征市人民医院 检验科,江苏 仪征 211400

扬州市中医院 检验科,江苏 扬州 225007

肿瘤标志物 联合检测 妇科肿瘤 诊断价值

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(15)