MSCT联合CEA、Ki-67及CA125检测对卵巢癌的诊断价值

目的 分析多层螺旋CT(MSCT)联合CEA、Ki-67及CA125检测对卵巢癌的诊断价值.方法 选取我院2017年2月至2018年9月收治且经病理学活检或手术证实的58例卵巢癌患者作为研究对象,比较MSCT、血清CEA、Ki-67及CA125检测以及四者联合诊断卵巢癌的准确性、敏感性、特异性.结果 血清CEA对卵巢癌...

Diagnostic Value of Multi-slice Spiral CT Combined with CEA,Ki-67 and CA125 Detection for Ovarian Cancer

Objective To analyze the diagnostic value of multi-slice spiral CT(MSCT) combined with CEA,Ki-67 and CA125 detection for ovarian cancer.Methods 58 patients with ovarian cancer treated in our hospital from February 207 to September 2018 and confirmed by pathological biopsy or surgery were selected as the research subjects.The accuracy,sensitivity,and specificity of MSCT,serum CEA,Ki-67,and CA125 tests and their combination in the diagnosis of ova rian cancer were compa red.Results The sensitivity,specificity,and accuracy of serum CEA in the diagnosis of ovarian cancer are 59.18%,88.89%,and 63.79%,respectively.The sensitivity,specificity,and accuracy of Ki-67 in the diagnosis of ovarian cancer are 55.10%,66.67%,56.90%,respectively.The sensitivity,specificity,and accuracy of CA125 for the diagnosis of ovarian cancer were 69.39%,77.78%,and 70.69%.The sensitivity,specificity,and accu racy of MSCT in the diagnosis of ova rian cancer are 73.48%,88.89%,and 75.86%,respectively.The sensitivity,specificity,and accuracy of their combination in the diagnosis of ovarian cancer are 93.88%,100.00%,and 94.83%,respectively,significantly higher than those of the single serum CEA,Ki-67,CA125,and MSCT(P<0.05).Conclusion The combination of MSCT,serum CEA,Ki-67,and CA125 is more accurate in diagnosis ova rian cancer,which can effectively reduce the risk of missed diagnosis and misdiagnosis.