直肠超声引导下“6+X”系统穿刺结合穿剪切波弹性成像技术异常区在前列腺癌检测中的临床价值

Clinical value of rectal ultrasound-guided"6+X"system puncture combined with shear wave elastography abnormal area in the detection of abnormal areas of prostate cancer

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摘要目的研究直肠超声引导下“6+X”系统穿刺结合穿剪切波弹性成像技术(SWE)异常区在提高前列腺癌检出率中的临床意义。方法选取2017年1月至2021年12月新余市人民医院收治的228例疑似前列腺癌患者作为研究对象,检查者均进行直肠超声引导下“6+X”系统穿刺检查以及直肠超声引导下“6+X”系统穿刺结合穿SWE异常区检查。以穿刺活检的病理结果为金标准,评价两种检查方法的诊断结果。结果直肠超声引导下“6+X”系统穿刺结合穿SWE异常区联合检查前列腺癌的灵敏度、特异度、阳性预测值、阴性预测值以及诊断准确度均高于直肠超声引导下“6+X”系统穿刺的单一检查。结论针对疑似前列腺癌患者,通过直肠超声引导下“6+X”系统穿刺结合穿SWE异常区的联合活检穿刺,能够对前列腺部位的病理组织进行有效检查,提高疾病检出率,降低误诊与漏诊情况发生。 Objective To study the clinical significance of rectal ultrasound-guided"6+X"system puncture combined with shear wave elastography(SWE)abnormal area in improving the detection rate of prostate cancer.Methods A total of 228 patients with suspected prostate cancer treated in Xinyu People's Hospital from January 2017 to December 2021 were selected as the research objects.The examiners underwent rectal ultrasound-guided"6+X"system puncture examination and rectal ultrasound-guided"6+X"system puncture combined with SWE abnormal area examination.The pathological results of needle biopsy were taken as the gold standard to evaluate the diagnostic results of the two methods.Results The sensitivity,specificity,positive predictive value,negative predictive value and diagnostic accuracy of rectal ultrasound-guided"6+X"system combined with SWE abnormal area examination in prostate cancer were all higher than those of the single examination of rectal ultrasound-guided"6+X"system puncture.Conclusion In patients with suspected prostate cancer,rectal ultrasound-guided"6+X"system combined with biopsy puncture through the abnormal area of SWE can effectively examine the pathological tissue of the prostate site,improve the disease detection rate,and reduce the occurrence of misdiagnosis and missed diagnosis.

作者林小平杨震华张惠媛王颖琦邹路延刘霖 LIN Xiaoping;YANG Zhenhua;ZHANG Huiyuan;WANG Yingqi;ZOU Luyan;LIU Lin(Department of Ultrasonic Diagnosis,Xinyu People's Hospital,Jiangxi Province,Xinyu 338000,China)

机构地区江西省新余市人民医院超声诊断科

出处《中国当代医药》 CAS 2022年第31期136-139,共4页 China Modern Medicine

基金江西省卫生健康委科技计划项目(202212231)。

关键词前列腺癌超声检查穿刺活检诊断价值 Prostate cancer Ultrasonic examination Puncture biopsy Diagnostic value

分类号 R698 [医药卫生—泌尿科学]