论文部分内容阅读
分别采用酶联免疫吸附法(ELISA)及放射免疫法测定了159 例子宫内膜异位症(内异症)患者(内异症组)血清子宫内膜抗体(EMAb)及卵巢上皮癌相关抗原(CA-125)水平,并与正常对照组比较。结果:治疗前内异症组EMAb 及CA-125 阳性率均明显高于对照组,P均< 0.05。单独测定EMAb诊断内异症的敏感性为64.15% ,特异性为92.50% ;单独测定CA-125 的敏感性为81.13% ,特异性为97.50% 。如以EMAb 及CA-125 均阳性为诊断标准,则诊断内异症的敏感性为54.00% ,特异性为100% 。治疗后1、3 个月复查,EMAb 及CA-125 阳性率均明显降低。认为测定血清EMAb、CA-125 是目前较好的无创伤性诊断内异症的辅助方法,亦有助于内异症的疗效判定,联合测定EMAb 及CA-125,则更能提高诊断价值。
Serum endometrial antibody (EMAb) and epithelial ovarian cancer-associated antigen (EMAb) were detected in 159 patients with endometriosis (endometriosis) (endometriosis group) by enzyme-linked immunosorbent assay (ELISA) and radioimmunoassay (CA-125) levels, and compared with the normal control group. Results: The positive rates of EMAb and CA-125 in the endometriosis group before treatment were significantly higher than those in the control group (all P <0.05). The sensitivity and specificity of EMAb in the diagnosis of endometriosis were 64.15% and 92.50%, respectively. The sensitivity and specificity of CA-125 alone were 81.13% and 97.50% respectively. If both EMAb and CA-125 positive diagnostic criteria, the diagnosis of endometriosis sensitivity was 54.00%, specificity of 100%. One and three months after treatment, the positive rates of EMAb and CA-125 were significantly decreased. It is considered that the determination of serum EMAb and CA-125 is a good noninvasive adjuvant method for noninvasive diagnosis of endometriosis. It is also helpful to determine the efficacy of endometriosis. Combined determination of EMAb and CA-125 can improve the diagnostic value.