摘要
目的验证A-I型前列腺穿刺器对临床上前列腺特异性抗原(PSA)>4ng/ml和(或)前列腺直肠指诊、B超发现结节者进行前列腺癌筛查的临床意义。方法采用A-I型前列腺穿刺器,对36例PSA>4ng/ml或有前列腺结节者,在食指引导下进行前列腺左右叶的尖、中间、尾部和触及结节处活检。结果有结节者17例中发现前列腺癌(PCA)5例(29.4%);PSA>4.0ng/ml的34例中,PCA检出15例(44.12%)。分析显示:A-I型前列腺穿刺器与B-超引导系统相比较,对血清PSA>4.0ng/ml者的PCA检出率有明显的差异(x2=5.568, P<0.05)。结论A-I型前列腺穿刺器完全可以满足临床对筛查前列腺癌的要求,是一种操作简便、易用、费用低廉的前列腺疾病的诊断器械,值得临床推广。
Object To validate clinical significance of A-I prostate puncture biopsy instrument to screenprostate cancer in patients with PSA> 4 ng / ml and (or) with prostatic nodule found on DRE or TRUS.Methods A-I prostate puncture biopsy instrument was used in 36 patients suspected of prostate cancer inboth side of the gland ( upper, middle, lower ) and core in the nodule. Results In 17 cases with prostaticnodules, 5 (29.4%) prostate cancers was detected. In 34 cases with PSA > 4 ng / ml, 15 (44.12%) prostatic cancerswere detected. Analysis showed that A-I prostate puncturable instrument biopsy for PSA >4.0 ng / ml cases hadmarked difference than ultrasound guided systematic biopsy in prostate cancer (x2=5.568, P<0.05) . Conclusions A-Iprostate puncture biopsy instrument could entirely meet the requirment for distinguishing prostate cancer.
出处
《中国男科学杂志》
CAS
CSCD
2004年第2期40-42,共3页
Chinese Journal of Andrology
关键词
前列腺穿刺器
前列腺癌症
活检
前列腺特异性抗原
prostate puncture biopsy instrument
prostate cancer
prostate special antigen(PSA)
