经直肠超声引导前列腺穿刺组织学检查在前列腺癌高危患者中的临床诊断价值  

The clinical diagnostic value of transrectal ultrasounography guided prostate biopsy in patients at high risk of prostate cancer

作　　者：曾灵峰[1] 石伟元[1] 李雪金[1] 张彤[1] 彭旭红[1] 廖敏兰[1] 肖琳玲[1] 

机构地区：[1]郴州市第一人民医院超声中心,湖南郴州423000

出　　处：《湘南学院学报（医学版）》2013年第2期32-34,共3页Journal of Xiangnan University（Medical Sciences）

摘　　要：目的探讨经直肠超声引导前列腺穿刺组织学检查在高危前列腺癌患者中的临床诊断价值。方法对84例临床高危前列腺癌患者行经直肠超声引导前列腺穿刺组织学检查,穿刺采用传统的6点法,以及对前列腺可疑结节或可疑区域增加穿刺组织学检查1-2针。结果84例符合条件的病例中,单纯前列腺增生24例(28.57%),前列腺上皮内瘤1例(1.19%),前列腺增生伴局灶不典型增生3例(3.57%),前列腺增生伴小灶PIN级1例(1.19%),前列腺增生伴炎症2例(2.38%),前列腺癌50例(59.52%),前列腺转移癌1例(1.19%),前列腺癌假阴性2例(2.38%)。结论经直肠超声引导前列腺穿刺组织学检查对前列腺癌高危患者的临床诊断准确率高、安全、有效。Objective To evaluate the clinical diagnostic value of transrectal ultrasounography （TRUS） guided prostate biopsy in patients at high risk of prostate cancer （PCA）. Methods 84 cases of clinical patients with high - risk prostate cancer were checked through the transrectal ultrasound guided prostate puncture biopsy, piercing the traditional six point, the prostate gland suspicious nodules or suspicious area increasing histological 1 - 2 puncture needle. Results A total of 84 cases were recruited, benign prostatic hyperplasia were diagnosed in 24 patients （ 28.57 % }, focal nodular hyperplasia in 3 cases （3.57 % ）, benign prostatic hyperp!asia with small focal classified as PIN in 1 case （ 1.19% ）, benign prostatic hyperplasia associated with inflarmnation in 2 cases （2.38%）, PCA in 50 cases （59.52%）, metastasis of PCA cases （ 1.19% }, false negative in screening for PCA in 2 cases （2.38%）. Conclusion TRUS guided prostate biopsy histological examination is a safe, effective meth- od in clinical diagnosis of high- risk PCA.

关 键 词：前列腺癌 经直肠超声引导 组织学检查 前列腺特异性抗原 

分 类 号：R445.1[医药卫生—影像医学与核医学]