86例超声引导下经会阴前列腺穿刺体会

Transrectal Ultrasonography Guided Transperineal Biopsy of the Prostate (Report of 86 Cases)

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.