经会阴10点以下或以上前列腺活检诊断效率和并发症比较  

Diagnostic efficacy and complication of transperineal prostate biopsy： less than 10 cores vs more than 10 cores

作　　者：童仕俊[1] 姜昊文[1] 杨宝年[2] 蔡叶华[2] 孙剑良[1] 丁强[1] 张元芳[1] 

机构地区：[1]复旦大学附属华山医院泌尿外科复旦大学泌尿外科研究所,上海200040 [2]复旦大学附属华山医院超声医学科,上海200040

出　　处：《中华泌尿外科杂志》2009年第5期348-350,共3页Chinese Journal of Urology

摘　　要：目的分析经会阴〈10点与≥10点前列腺活检的诊断效率和并发症情况。方法经直肠超声引导下经会阴前列腺穿刺活检900例，分2组，〈10点组759例（A组），平均活检8点；≥10点组141例（B组），平均活检12点。分析2组间总活检阳性率、PSA分层活检阳性率和并发症的差异。结果A、B组前列腺癌检出总阳性率分别为41．6％（316／759）和51．8％（73／141），PSA≤10．0ng／ml患者中活检阳性率分别为6．8％（16／235）和17．8％（8／45），2组比较差异有统计学意义（P〈0．05）。并发症发生情况：A组出现肉眼血尿者274例（36．1％），尿潴留2例；B组肉眼血尿53例（37．6％）.尿潴留1例，2组并发症比较差异无统计学意义（P〉0．05）。结论≥10点前列腺活检的诊断效率高于〈10点，并发症发生率无明显差异。Objective To compare the diagnostic efficacy and complications of transperineal prostate biopsy for 〈10 cores biopsy vs ≥10 cores biopsy. Methods Nine hundred transrectal ul- trasound-guided transperineal prostate biopsies were performed. Patients were divided into 2 groups, 〈10 cores group and ≥10 cores group. Patient numbers of the 2 groups were 759 and 141, respec tively. Cancer positive rate and complications were compared between the 2 groups retrospectively. Results Cancer positive rates were 41.6%（316/759） and 51.8%（73/141） in2 groups （P〈0.05）. In patients of PSA 410.0 ng/ml, cancer positive rates were 6, 8% （16/235） and 17. 80% （8/45） in 2 groups （P〈0. 05）. Gross hematuria was the most common complication associated with biopsy. There was no statistical difference between the 2 groups in post biopsy gross hematuria rate. Conclusions The diagnostic efficacy is higher in ≥10 cores prostate biopsy than that in 〈10 cores prostate biopsy. There is no difference in biopsy related complications regarding biopsy core numbers.

关 键 词：前列腺肿瘤 癌 诊断 活检 并发症 

分 类 号：R686[医药卫生—骨科学]