子宫内膜异位症血清和囊液CA125的测定及临床意义

目的探讨CA125与子宫内膜异位症(EM)的关系。方法分别测定卵巢子宫内膜异位囊肿(巧囊)和非子宫内膜异位症的卵巢良性囊肿患者血清及囊液CA125水平。结果巧囊组囊液CA125高于血清CA125水平(P<0.01);巧囊组血清和囊液CA125均高于对照组(P<0.01);且分别与病情程度成正相关(r=0.8564,r=0.8118,P<0.01);血清CA125与痛经严重程度呈正相关(r=0.5545,P<0.01);而囊液CA125水平与痛经严重程度无明显相关性(P>0.05)。结论CA125与子宫内膜异位症的发生、发展及预后有关;血清和囊液CA125随着病情程度增加而升高,血清CA125与痛经程度呈正相关,测定CA125有助于EM的诊断及病情、预后的判断。

Measurement of CA125 in serum and ovarian cyst fluid of patients with endometriosis and its clinical significance

Objective To study the relationship between CA125 and endometriosis.Methods We tested the level of CA125 in serum and fluid of ovarian cysts of patients with endometriosis and non-endometriosis,respectively.Results The mean CA125 concentration in the fluid of endometrial cysts of the ovary(ECO) was remarkably higher than that of the serum in ECO group(P<0.01).CA125 concentration both in the serum and in the fluid of ECO group was significantly higher than that of control group(P<0.01).Serum CAl25 level was positively correlated with the level of dysmenorrhea(P<0.01).CAl25 level in patients with ECO was also related positively with the severity of dysmenorrhea(P<0.01).CAl25 level in ovarian cyst fluid was not proportional to the severity of dysmenorrhea(P>0.05).Conclusion The level of CA125 has bearing on the occurrence,development and prognosis of endometriosis,CA125 level is positively correlated with the severity of the disease.Therefore,it is valuable to test serum CA125 level for diagnosing endometriosis.