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目的探讨绝经后附件肿块早期诊断及治疗方法。方法 187例绝经后附件肿物患者术前均行B超检查、CA125检测,手术标本均送病理,以确诊其性质。结果 180例患者术前测定血清CA125(临界值35U/ml),结合B超诊断卵巢恶性肿瘤的特异性为91.2%。敏感性为88.6%,准确性为89.4%。结论 B超结合CA125可作为绝经后卵巢恶性肿瘤早期诊断的方法,绝经后附件肿物恶性率高,尤其是双侧、实性、囊实性或囊性多房者,应尽早采取手术治疗。
Objective To investigate the early diagnosis and treatment of postmenopausal attachment lumps. Methods Totally 187 patients with postmenopausal attachment mass were examined by B-ultrasound and CA125 before surgery. All the specimens were sent for histopathology. Results 180 patients were measured serum CA125 preoperatively (the threshold value of 35U / ml), combined with B ultrasound diagnosis of ovarian cancer was 91.2% specificity. Sensitivity was 88.6%, accuracy was 89.4%. Conclusion B-CA125 can be used as an early diagnosis method for ovarian cancer in postmenopausal women. Postmenopausal women with malignant tumor with high mass, especially those with bilateral, solid, cystic or cystic, should be treated as soon as possible.