| 程莹莹,程 文,李国夫.CA125阴性的卵巢占位经阴道彩超引导下穿刺活检的价值[J].肿瘤学杂志,2013,19(2):133-135. |
| CA125阴性的卵巢占位经阴道彩超引导下穿刺活检的价值 |
| The Value of Transvaginal Color Doppler Sonography-Guided Biopsy in Diagnosis for CA125-negative Ovarian Lesion |
| 投稿时间：2012-11-16 |
| DOI：10.11735/j.issn.1671-170X.2013.02.B2012554 |
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| 中文关键词: 阴道 活组织检查 卵巢肿瘤 CA125 超声检查 |
| 英文关键词:vagina biopsy ovarian lesion CA125 sonography |
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| 中文摘要: |
| 摘 要：［目的］ 研究经阴道彩超引导下穿刺活检在CA125阴性的卵巢占位诊断中的临床应用价值。［方法］ 对86例CA125阴性的卵巢占位患者经阴道彩超引导下穿刺活检，将活检病理结果与术后病理结果进行比较。［结果］ 86例患者经阴道彩超引导下穿刺取材成功率100.0%，穿刺活检病理结果与术后病理结果比较诊断灵敏度90.9%（50/55）、特异性100.0%（31/31）、准确性94.2%（81/86），Kappa值为0.88，表示一致性好。［结论］ 经阴道彩超引导下穿刺活检对明确CA125阴性的卵巢占位的诊断具有准确度高、并发症少的特点，是一种快速、微创、简便、安全的方法。 |
| 英文摘要: |
| Abstract: ［Purpose］ To study the clinical value of transvaginal color Doppler sonography-guided biopsy in diagnosis of CA125-negative ovarian lesion. ［Methods］ A total of 86 patients of CA125-negative ovarian lesion underwent transvaginal color Doppler sonography-guided biopsy. The pathology with puncture biopsy and postoperation pathology were compared. ［Results］ The success biopsy rate was 100.0%. Compared with pathological result，the sensibility，specificity and accuracy of transvaginal color Doppler sonography-guided biopsy were 90.9%（50/55），100.0%（31/31） and 94.2%（81/86）respectively，with Kappa value 0.88. ［Conclusion］ Transvaginal color Doppler sonography-guided biopsy is a fast，minimally invasive，convenient and safe method for the diagnosis of CA125-negative ovarian lesion，with high accuracy and few complication. |
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