阴道超声彩色多普勒和CA_(125)联检对卵巢癌的诊断价值

The role of TVUS, Dpple In the diagnosis of ovarian cancer

对８０例盆腔包块患者术前抽血用ＲＩＡ测定其ＣＡ１２５值，经阴道超声及彩色多普勒探测形态和血流 成像并与术后临床分期、病理类型相对照。结果：２６例术前血清ＣＡ１２５阳性（＞３５Ｕ／ｍｌ），阳性率为３２．５％。术后证 实恶性肿瘤者９例，其ＣＡ１２５均＞１００Ｕ／ｍｌ。８０例盆腔包块患者中，阴道超声、彩色多普勒联用疑诊恶性肿瘤１２ 例，术后证实９例为恶性，阳性率为７５％。三者均阳性的９例术后证实均为恶性肿瘤。

The level of serum CA125 detected by radioimmunoassay (RIA)and the picture of blood stream observed by transvaginal ultrasound(TVUS)and Doppler before operation were compared with clinical stage and pathologic type after operation in 80 women with basinal cavity mass. The result showed preoperative positive expression in CA125(＞35U/ml)was found in 26 of 80 cases with a positive rate of 32.5%. Nine of 26 cases with high level CA125 (＞ 100U/ml)were malignant confirmed by postoperative histological examination. Malignancy was suspected by preoperative TVUS and Doppler in 12 of 80 cases. Nine of them were malignant confirmed by postoperative histological examination with a positive rate of 75%. All of the 9 cases with positive expression in 3 methods were confirmed malignant postoperatively.