体检人群前列腺钙化灶的超声表现特点及检查价值  

Investigation and analysis of prostate calcification in physical examination population by ultrasonic

作　　者：孙金孝 陆昀 丁以芹 陆继强 吕静云 秦鸣 沈振海 

机构地区：[1]江苏省太湖康复医院.江苏省健康评估与干预研究中心,江苏无锡214086

出　　处：《西部医学》2017年第12期1749-1752,共4页Medical Journal of West China

基　　金：江苏省卫生厅科研课题(B2013073);江苏省太湖干部疗养院科技项目(ZL201406)

摘　　要：目的分析体检人群不同年龄段前列腺钙化灶患病率及超声表现特点。方法选取2015年11月1~15日来我院做健康体检的1667例男性,均做前列腺超声检查,检查前饮足够量水,当膀胱充盈时,采用GE Logio7,GE E9,Philips HD11型彩色多普勒超声诊断仪检查前列腺,记录前列腺大小、形态、有无钙化灶及钙化灶大小、形态、数目、分布等。结果检出前列腺钙化灶患者640例(总患病率为38.4%),其中<40岁有142例(27.7%);40~49岁者133例(34.0%);50~59岁者191例(44.9%);60~69岁者102例(47.0%);70~79岁者54例(55.7%);≥80岁者18例(72.0%)。前列腺钙化灶单发296例(46.2%),多发钙化灶344例(53.8%),其中<40岁年龄组以单发钙化灶为主,且所占比例明显比其他年龄组高(P<0.05);钙化灶呈集聚团状分布277例(43.3%),散在团状分布113例(17.6%),孤立分布250例(39.1%);前列腺单纯钙化229例(35.8%),合并增生234例(36.6%),合并囊肿48例(7.5%),合并炎症126例(19.7%),合并癌变3例(0.4%)。结论前列腺钙化灶是男性生殖系统最常见和最容易被忽视的疾病,常常合并其他前列腺疾病,超声是检查前列腺最简单、方便、无创伤的方法,可在临床广泛应用。Objective To investigate the condition with disease of prostate calcification in men of health examina- tion crowd. Methods The survey involved 1667 men＇s health examination from November 2015 1 - 15. when the bladder filling, GE Logio7, GE E9, Philips HD11 color Doppler ultrasound diagnostic instrument was used to record the pros tate, prostate size, shape, calcification and calcification size, shape, number and distribution. Results There were 640 cases with prostatic calcification （38.40%）. The prevalence rate of less than 40 years old, 40 - 49 year old, 50 to 59 years old, 60 - 69 years old, 70 to 79 years old and 80 years of age or older were 27.7%. 34.0%. 44.9%, 47.0%, 55. 7% and 72.0%. The single srostate calcification rated was 46. 2%. The multiple calcification was 53.8%. The single calcification rate of （40 years old age group was higher than that of the other （P〈0. 05）. The gathered and round shaped calcification was 43.3 %. The isolated calcification was 39. 1%. Conclusion The prostate calcification is common and easily overlooked and often associated with other prostate disease. Ultrasonography is a simple and convenient and noninvasive method.

关 键 词：超声表现 体检人群 前列腺 钙化灶 

分 类 号：R445.1[医药卫生—影像医学与核医学]