超声引导下“6+X”针前列腺穿刺中6针的价值分析

Analyze the value of 6 cores in 6+X cores prostate biopsy guided by transrectal ultrasonography

目的:比较直肠超声引导下"6+X"针前列腺穿刺活检术与"X"针穿刺活检术在诊断前列腺癌方面的临床价值,从而分析系统6针有无必要。方法:对2012年1月—2013年8月与2013年8月—2014年12月两个阶段满足前列腺穿刺标准的可疑前列腺癌患者分别采用"X"针与"6+X"针穿刺活检术,并对资料进行回顾性统计分析。结果:按照穿刺方法不同分为A组和B组,A组66例患者有27例证实为前列腺癌,检出率为40.91%;B组55例患者有23例证实为前列腺癌,检出率为41.82%。结论:直肠超声引导下"6+X"针穿刺活检术与"X"针相比,并没有明显提高前列腺癌的检出率,因此,"6+X"针中的系统6针有望被取消。

Objective： To compare the clinical value of 6＋X cores and X cores prostate biopsy guided by transrectal ul- trasonography in diagnosis of prostate cancer, to analyze the necessity of 6 cores. Methods： From January 2012 to August 2013 and from August 2013 to December 2014, patients who were suspected to suffer from prostate cancer and meted for prostate biopsy standards underwent X cores and 6＋X cores prostate biopsy respectively, and analyzed the materials retrospec- tively. Results： All the patients were divided into group A and group B according to the puncture method, there were 27 cases proved to be prostate cancer in group A of 66 cases, detection rate was 40.91%; there were 23 cases proved to be prostate cancer in group B of 55 cases, detection rate was 41.82%. Conclusion： 6＋X cores prostate biopsy guided by tran- srectal uhrasonography doesn＇t improve the detection rate of prostate cancer significantly compared with X cores, so the 6 cores in 6＋X cores is expected to be cancelled.