前列腺癌80例临床诊断分析  

Clinical diagnosis of 80 cases of prostate cancer

作　　者：刘林涛[1] 杨罗艳[1] 祁乐中[1] 王小祥[1] 

机构地区：[1]江苏省扬州市第一人民医院泌尿外科,江苏扬州225000

出　　处：《吉林医学》2010年第22期3631-3633,共3页Jilin Medical Journal

摘　　要：目的:提高前列腺癌的临床诊断水平。方法回顾性分析收治的80例确诊前列腺癌病例的临床资料。结果:临床症状、DRE、PSA、影像学检查、活检及核素骨显像是诊断前列腺癌的重要临床依据。结论:当血PSA异常,而DRE(-),临床高度怀疑前列腺癌时或当己确诊为前列腺癌而需进一步确定临床分期时,影像学检查建议首推MRI。患者一旦前列腺癌诊断成立,不论临床分期如何,都应常规进行全身核素骨显像。彩超引导下经直肠穿刺活检较手指引导下经直肠行穿刺活检,阳性率有明显升高。Objective To improve the clinical diagnosis of prostate cancer.Method For 80 prostatic neoplasm cases were evaluated.Results The clinical manifestations together with the imaging,PSA finding,DRE,biopsy,skeletal scintigraphy,all played an important role in the clinical diagnosis of prostatic cancer.Conclusion Suggests to select MRI as the first imaging examination when suspecting prostate cancer clinically,especially when PSA is abnormal but DRE is negative.The patients of prostatic cancer should take the ECT examination no matter what the clinical stage is.The positive rate of prostate biopsy guided by transrectal ultrasound is higher than by transrectal palpation.

关 键 词：前列腺癌 诊断 

分 类 号：R737.25[医药卫生—肿瘤]