MRI联合TRUS检查对前列腺癌穿刺检出率的影响  

The Influence of MRI Combined with TRUS Examination on the Detection Rate of Prostate Cancer Puncture

作　　者：石锋[1] 舒松[1] 吴明[1] 余新堂 王曾强 SHI Feng;SHU Song;WU Ming;YU Xintang;WANG Zengqiang(Radiology Department,Tianmen First People’s Hospital,Tianmen 431700,Hubei,P.R.China;Ultrasound Department,Tianmen First People’s Hospital,Tianmen 431700,Hubei P.R.China;Hubei Cancer Hospital,Wuhan 430079,Hubei,P.R.China)

机构地区：[1]天门市第一人民医院放射科,湖北天门431700 [2]天门市第一人民医院超声科,湖北天门431700 [3]湖北省肿瘤医院,湖北武汉430079

出　　处：《影像科学与光化学》2020年第6期1010-1013,共4页Imaging Science and Photochemistry

摘　　要：探讨核磁共振(MRI)联合经直肠超声(TRUS)检查对前列腺癌穿刺检出率的影响。回顾性分析150例疑似前列腺癌患者的临床资料,根据穿刺指导方式将其分为A组、B组、C组,A组于TRUS引导下穿刺,B组于MRI引导下穿刺,C组于MRI联合TRUS引导下穿刺。经Kappa检验分析各检查方式与手术病理诊断的一致性,记录三组并发症发生率。结果显示,A组、B组、C组结果与病理诊断的一致性分别为0.505、0.585、0.664;三组血便、尿潴留、血尿、低热发生率比较无显著差异(P>0.05)。与单纯MRI或TRUS引导下行前列腺穿刺相比,采用MRI联合TRUS引导下进行前列腺穿刺与手术病理诊断的一致性最高。To investigate the effect of MRI combined with TRUS on the detection rate of prostate cancer.The clinical data of 150 patients with suspected prostate cancer were analyzed retrospectively.All patients were given puncture biopsy.According to the puncture guidance,they were divided into group A,group B and group C.Group A was punctured under the guidance of TRUS,group B under the guidance of MRI,and group C under the guidance of MRI combined with TRUS.Kappa test was used to analyze the consistency between the examination methods and the surgical pathological diagnosis.The complication rate of the three groups was recorded.The results showed that the consistency of group A,group B and group C with pathological diagnosis was 0.505,0.585 and 0.664,respectively.There was no significant difference in the incidence of bloody stool,urine retention,hematuria and low fever between the three groups(P>0.05).Compared with MRI alone or TRUS guided prostate puncture,MRI combined with TRUS guided prostate puncture had the highest consistency with surgical pathological diagnosis.

关 键 词：前列腺癌 核磁共振 经直肠超声 穿刺活检 

分 类 号：R737.25[医药卫生—肿瘤] R445.2[医药卫生—临床医学]