摘要
目的:探讨直肠超声引导下(TRUS)经会阴前列腺穿刺活检术诊断前列腺癌的价值。方法:对491例PSA>4ng/ml、直肠指检异常或B超发现异常回声的病例行经会阴前列腺标准六点穿刺活检术.同时对可疑回声区随机增加穿刺点,并与病理结果对照分析。结果:穿刺活检证实为前列腺癌190例,阳性率38.70%。结论:TRUS引导下经会阴前列腺穿刺准确率高,并发症少且轻。
Purpose:To evaluate the clinical value of transperineal prostate biopsy guided by transrectal ultrasonography in diagnosis of prostate cancer.Methods: Guided by transrectal ultrasound, the standard 6 core prostate biopsy(extra core was added to suspicious area) was done to a total of 491 patients with PSA 〉 4ng/ml, nedus found by digital rectal examination or abnormal echo discovered by ultrasound. Then the pathologic result were analyzed. Results: The final diagnoses of 190 patients were prostate cancers, the positive rate was 38.70%. Conclusion: Transperineal prostate biopsy guided by transrectal ultrasonography has high accuracy and less side effects. It performs important functions in prostate cancer diagnosis.
出处
《中国医学计算机成像杂志》
CSCD
北大核心
2009年第3期274-277,共4页
Chinese Computed Medical Imaging
关键词
直肠超声
前列腺增生
前列腺癌
前列腺穿刺活检
Transrectal ultrasonography
Hyperplasia'of prostate
Prostate cancer
Prostate biopsy