血清CA125、经阴道B超检查及CT检查在子宫内膜癌术前评估方面的价值黄流海范婵摘要：目的研究血清CA125、經阴道B超检查及CT检查在子宫内膜癌（EC）术前评估方面的价值。方法选取2017年2月～2018年2月在我院确诊的46例EC行分期手术患者为研究对象，术前分别进行阴道B超、CT检查以及血清CA125检测，对比术前与术后检测结果，并根据术后病理结果分析术前各种检测方法特异性、敏感性等。结果术前血清CA125水平、阳性率在I期（40.0±23.20）U/ml、26.92%，低于Ⅱ～Ⅳ期（131.7±85.10）U/ml、75.00%，差异有统计学意义（P0.05）；在诊断累及宫颈中血清CA125联合CT与CA125联合阴道B超、CA125联合CT与阴道B超特异性、敏感性、准确性对比，差异无统计学意义（P>0.05）；在诊断盆腔淋巴转移方面，CA125联合CT检查与CA125单纯检查对比，特异性、敏感性、准确性升高，敏感性升高，差异无统计学意义（P>0.05），特异性、准确性升高，差异有统计学意义（P关键词：血清CA125；阴道B超；CT检查；EC：R737.33：ADOI：10.3969/j.issn.1006-1959.2018.15.049：1006-1959（2018）15-0151-03---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---TheValueofSerumCA125，TransvaginalB-ultrasoundandCTExaminationinPreoperativeEvaluationofEndometrialCancerHUANGLiu-hai，FANChan（DepartmentofClinicalLaboratory，SuiningCentralHospital，Suining629000，Sichuan，China）Abstract：ObjectiveTostudythevalueofserumCA125，transvaginalB-ultrasoundandCTexaminationinpreoperativeevaluationofendometrialcarcinoma（EC）.Methods46patientswithECstagingsurgerydiagnosedinourhospitalfromFebruary2017toFebruary2018wereenrolledinthestudy.PreoperativevaginalB-ultrasound，CTexaminationandserumCA125wereperformedtocomparepreoperativeandpostoperativeresults.Andanalyzethepostoperativepathologicalresultsandthespecificityandsensitivityofvarioustestmethodsbeforesurgery.ResultsPreoperativeserumCA125levelandpositiveratewereinIphase（40.023.20）U/ml，26.92%，lowerthanphaseIItoIV（131.785.10）U/ml，75.00%，andthedifferencewasstatisticallysignificant（P<0.05）.Inthediagnosisofdeepmyometriuminfiltrationoftumor，serumCA125combinedwithCT，serumCA125combinedwithvaginalB-ultrasound，serumCA125combinedwithCTandvaginalultrasoundspecificity，sensitivityandaccuracy，thedifferencewasnotstatisticallysignificant（P>0.05）.Therewasnosignificantdifferenceinthespecificity，sensitivityandaccuracyofCA125combinedwithCTandCA125combinedwithCA125，CA125combinedwithCTandvaginalB-ultrasoundindiagnosisofcervicalcancer（P>0.05）.Inthediagnosisofpelviclymphatic---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---metastasis，CA125combinedwithCTexaminationandCA125simpleexamination，thespecificity，sensitivity，accuracyandsensitivityincreased，thedifferencewasnotstatisticallysignificant（P>0.05），thespecificityandaccuracyincreased，thedifferencewasstatisticallysignificant（P<0.05）.ConclusionSerumCA125andtransvaginalB-ultrasoundhavegreatvalueinpreoperativeECstaging，pathologicalgrade，diagnosisofdeepmyometrialinvasionandcervicalinvolvement，butCTexaminationismoreadvantageousinpelviclymphomametastasis.Keywords：SerumCA125；VaginalB-ultrasound；CTexamination；EC子宫内膜癌（endometrialcancer，EC）是临床常见的一种妇科恶性肿瘤，严重威胁患者的生命健康。临床治疗该疾病多采用手术，为了提高手术的治疗效果，确定手术范围，临床术前正确评估淋巴结侵犯范围具有重要的临床价值[1]。然而临床无单一的检查方法，在术前对EC分期、浸润程度以及受累等方面进行准确预测。本文研究血清CA125、经阴道B超检查及CT检查在EC术前评估方面的价值，希望...