四种影像学检查在诊断前列腺癌中的应用评价  

Application Evaluation of Four Imaging Examination Methods in Diagnosing Prostate Cancer

作　　者：王春霞[1] 潘小杰[1] 范桂红[1] 张宇实[1] 赵庆华[1] 辛兆芹[1] 

机构地区：[1]聊城市人民医院超声科,山东聊城252000

出　　处：《中国医疗设备》2014年第5期170-172,160,共4页China Medical Devices

摘　　要：目的探讨4种影像学检查在前列腺癌诊断中的应用价值。方法对165例疑诊前列腺癌患者的经腹超声、经直肠超声、CT平扫及强化、MRI平扫及强化的影像学检查资料进行回顾性分析,所有患者均经直肠超声引导下穿刺取得病理结果,总结每项影像检查对前列腺肿瘤的诊断方法及影像学综合诊断过程中应注意的问题。结果经腹超声、经直肠超声、CT平扫及强化、MRI平扫及强化、敏感度分别为70.0%、85.7%、64.3%、97.1%,4者结合的诊断准确率为100%。结论多项影像联合检查对前列腺癌的早期发现、确诊具有重要帮助;对临床康复治疗方案的选择及变更有重要指导意义。Objective To explore the clinical application value of four imaging examination methods in diagnosing prostate cancer. Methods Imaging data collected from transabdominal ultrasound, transrectal ultrasound, ultrasound contrast, CT scan and CT enhancement scan, MRI scan and MRI enhancement scan of 165 patients with prostate cancer was retrospectively analyzed. Pathological results of biopsy of all patients were collected through paracentesis guided by transrectal ultrasound. Then the problems which should be paid attention to during the comprehensive diagnosis process of each imaging examination method were summarized. Results The sensitivities of transabdominal ultrasound, transrectal ultrasound, CT scan and CT enhancement scan, MRI scan and MRI enhancement scan were 70.0%, 85.7%, 64.3%, 97.1%, respectively. The diagnostic accuracy of the combination of these four methods was 100%. Conclusion The combination of various imaging examination methods will play an important role in the early diagnosis of prostate cancer and the choice and alteration of clinical rehabilitation treatment plans.

关 键 词：前列腺癌 彩色多普勒超声 CT MRI 穿刺活检 

分 类 号：R814.42[医药卫生—影像医学与核医学] R737.25[医药卫生—放射医学]