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影响前列腺穿刺活检阳性率的临床因素分析 被引量：1

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摘要 目的:探讨影响前列腺穿刺活检阳性率的临床因素。方法:103例因前列腺特异性抗原(prostate-specific antigen,PSA)增高(>4.00ng/mL)行了B超引导下经直肠前列腺穿刺活检的患者,对可能影响穿刺活检阳性率的各种因素如经直肠B超、前列腺指检、前列腺按摩、急性尿潴留、前列腺炎等进行分析。结果:单纯PSA增高而无其他影响因素的患者行前列腺穿刺活检阳性率(前列腺癌)为32.4%,PSA增高而伴有以下可能影响PSA的因素穿刺阳性率分别为,急性尿潴留17.6%(P<0.01)、直肠指检22.7%(P<0.05)、前列腺按摩25.0%(P<0.05)、前列腺炎2/8(P<0.01)、经直肠B超检查2/7(P>0.05)。结论:前列腺穿刺活检阳性率可受多种临床上常见的因素如直肠指检、前列腺按摩、急性尿潴留、前列腺炎影响,评估前列腺穿刺活检时应予重视。
作者 张文广 程惠安 温小明 汤平
机构地区 广州市石井人民医院泌尿外科 广州市第一人民医院外科
出处 《实用医学杂志》 CAS 2007年第5期687-689,共3页 The Journal of Practical Medicine
关键词 前列腺肿瘤 活组织检查 针吸 前列腺特异性抗原
分类号 R446.8 [医药卫生—诊断学] R737.25 [医药卫生—肿瘤]
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参考文献15

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二级参考文献8

  • 1Carter HB,Pearson JD,Metter EJ,et al.Longitudinal evaluation of prostate-specific antigen levels in men with and without prostate disease[].The Journal of The American Medical Association.1992
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实用医学杂志
2007年 第5期

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