摘要
目的 总结和评价经直肠超声引导下前列腺穿刺活检术对前列腺癌诊断的准确率。方法 222 例直肠指检阳性或 PSA>4μg/L的患者应用经直肠超声引导下前列腺6点系统穿刺活检以明确诊断。结果 222 例受检者中病理证实前列腺结节性增生41例、前列腺炎24例、前列腺肉瘤3例、前列腺癌 154 例,其中低分化癌 74 例、中分化癌 58 例、高分化癌 22 例。术后血尿15例、发热6例,其中高热1例,经抗生素治疗后体温恢复正常、尿检阴性。结论 经直肠超声引导下前列腺穿刺活检无需麻醉,患者痛苦小、安全性高,是诊断前列腺癌的可靠方法。
Objective To summarize and evaluate the accuracy of diagnosis of transrectal ultrasound guided systematic prostate biopsy. Methods A total of 222 patients referred to abnormal digital rectal examination or prostate specific antigen 4μg/L or greater underwent transrectal ultrasound guided systematic 6 core prostate biopsy. Results In the 222 patients the pathological examination confirmed that 41 had prostatic hyperplasia, 24 had prostatitis, 3 had prostatic sarcoma, and 154 had prostate carcinoma. Of the 154 cases of prostate carcinoma, 74 were low differentiated, 58 middle differentiated, and 22 high differentiated. Of the 222 patients, 15 had haematuria, and 6 had fever (1 had high fever). The patients who received antibiotic therapy returned to normal. Conclusion Transrectal ultrasound guided systematic prostate biopsy does not need narcosis. It is a secure method of diagnosing prostate carcinoma.
出处
《现代泌尿外科杂志》
CAS
2005年第2期97-99,共3页
Journal of Modern Urology
基金
江苏省135工程科研基金资助
