摘要
【目的】探讨经直肠超声 (TRUS)引导下重复穿刺对前列腺癌 (PCA)高危人群的诊断价值。【方法】在首次穿刺活检诊断为前列腺良性病变的 6 3例PCA高危人群中开展TRUS引导下重复穿刺活检。平均年龄 73(5 3～ 89)岁 ;34例直肠指检异常 ,2 7例TRUS异常 ;前列腺特异性抗原范围 0 .5～ 90 .0ng/ml,平均 16 .0ng/ml。【结果】在 6 3例前列腺重复穿刺的患者中 ,5 4例穿刺 2次 ,8例穿刺 3次 ,1例穿刺 4次 ;确诊PCA 17例 (2 7.0 % ) ,良性前列腺增生 35例 ,前列腺上皮内肿瘤 7例 ,慢性前列腺炎症 4例。【结论】在PCA高危人群中开展TRUS引导下重复穿刺可以提高PCA的诊断率。
Objectives]To evaluate the diagnostic significance of repeated transrectal ultrasound guided biopsies (TRUSGB) in high risk crowd of prostatic cancer (PCA).Sixty-three patients from high risk crowd of PCA were diagnosed as benign lesions of prostate by their previous first puncture biopsies, then they were subjected to repeated TRUSGB subsequently. The age of patients was 53 to 89 years old (mean age 73). Thirty-four patients were abnormal in digital rectal examination, 27 patients showed abnormality in TRUSGB. Their levels of prostate specific antigen (PSA) fluctuated in a range of 0.5～ 90.0 ng/ml (mean 16.0 ng/ml).Consecutive sets of biopsy were performed twice in fifty-four out of 63 patients having repeated puncture biopsy of prostate. Three consecutive sets of biopsy were done in 8 patients, while 1 patient had 4 consecutive sets of biopsy. Diagnoses of PCA were confirmed in 17 patients (27.0%). Thirty-five cases of benign prostatic hyperplasia, 7 cases of prostatic intraepithelial neoplasm, and 4 cases of chronic prostatitis were detected.[Conclusion]The diagnostic rate of PCA in high risk crowd of PCA will be raised by application of repeated TRUSGB.
出处
《医学临床研究》
CAS
2004年第3期224-226,共3页
Journal of Clinical Research
