摘要
目的以穿刺病理结果作为诊断前列腺癌(PCA)的金标准,分析经直肠超声引导下改良6+1点前列腺穿刺对PCA的诊断价值,为PCA的早期诊断提供可靠的穿刺方案。方法经临床物理检查和前列腺特异抗原测定可疑的PCA患者194例,对其中90例行6+1点穿刺,另104例行13点穿刺。分析两种穿刺方法在PCA诊断中的阳性率和并发症的发生情况。结果①经直肠超声6+1点前列腺穿刺的90例患者中,病理检出PCA患者44例(48.9%),可疑PCA患者2例,穿刺中未发现严重术后并发症。②经直肠超声13点前列腺穿刺的104例患者中,病理检出PCA患者55例(53.0%),21例(20.2%)患者出现出血、感染、尿潴留等较严重的并发症。结论经直肠超声引导下6+1点前列腺穿刺法阳性率高、并发症少,是一种可行的PCA初筛手段。
Objective To analyze the clinical value of prostate biopsy with 6 ＋ 1 points under transrectal ultrasound guidance in prostate cancer（PCA） , and to provide reliable puncture project for early diagnosis of PCA by considering the biopsy and pathological results as the gold standard. Methods A total of 194 patients with suspected PCA underwent clinical physical examination and prostate specific antigen（PSA） measurement. Prostate biopsy was performed on 90 patients with 6 ＋ 1 points under transreetal ultrasound guidance, and prostate biopsy was performed on other 104 patients with 13 points under transreetal ultrasound guidance. Then the positive rate of PCA and complications of the two methods were analyzed. Results ①In 90 patients who underwent prostate biopsy with 6 ＋ 1 points, there were 44 cases of PCA detected by pathology （44/90,48.9%）, 2 cases of suspected PCA, No serious complications appeared during puncture. ②In 104 patients who underwent prostate biopsy with 13 points, there were 55 cases of PCA detected by pathology （55/104,52.8%）, serious complications such as bleeding, infection and urinary retention appeared in 21 eases（21/104,20.2% ）. Conclusion Prostate biopsy with 6 ＋ 1 points under transreetal ultrasound guidance has high positive rate and few complications, it is a feasible method in screening PCA.
出处
《临床超声医学杂志》
2011年第5期311-313,共3页
Journal of Clinical Ultrasound in Medicine
关键词
前列腺肿瘤
穿刺
超声检查
经直肠
Prostate tumor
Puncture
Ultrasonography, transrectal
