摘要
目的分析86例经直肠超声(TRUS)引导下经会阴前列腺穿刺病理,提高前列腺癌活检阳性率。方法86例(年龄71-89岁,PSA.>10 ng/ml,PSAD>0.3),直肠超声(TRUS)引导下经会阴前列腺穿刺,6+X法。结果前列腺癌39例,前列腺增生46例,前列腺炎1例。前列腺癌阳性中:有可疑病灶32例,无可疑病灶7例,前列腺癌敏感性82%(32/39),其中第二次穿刺病例8例,阳性4例,第三次穿刺2例,阳性2例。结论对70岁以上高老人的前列腺穿刺活检病人,因个性化对待,重点对可疑病灶点和外周带的穿刺。
Objective: To increase the positive rate of transperineal prostate biopsy,analyze 86 cases pathologies,who underwent TRUS guided transperineal prostate biopsy. Methods A total of 86 cases patients with serum PSA 〉 10ng/ml or PSAD 〉 0.3, underwent transperineal sextant biopsy and more cores of the nodules. (6 + X method) Results: The biopsy results confirmed the diagnosis of prostate cancer in 39 cases, benign prostatic hyperplasia in 46 cases and prostatitis in 1 case. Among the patients of prostate cancer, 32 cases had abnormal or suspicious areas by B -uhmsonography finding. 8 patients underwent the second biopsy and prostate cancer was detected in 4 cases. 2 patients who underwent the third biopsy were both diagnosed prostate cancer. The sensitivity rate of Transrectal Uhrasonography for prostate cancer is 82% (32/39) Conclusion: Individual prostate biosy protocol should be taken for the detection of prostate cancer. Elderly patients (age ≥70 years) who need to undergo transperineal biopsy should accept personalized treatment. The key spot of biopsy should be located in the peripheral gland or abnormal and suspicious nodule of prostate.
出处
《生物医学工程学进展》
CAS
2008年第4期224-226,共3页
Progress in Biomedical Engineering
关键词
会阴
前列腺
活组织检
Transperineal,Prostate,Biopsy