超声引导下经会阴穿刺与经直肠穿刺诊断前列腺癌的价值对比  

Comparison of the Value of Ultrasound-Guided Transperineal Puncture and Transrectal Puncture in the Diagnosis of Prostate Cancer

作　　者：程泽根[1] CHENG Ze-gen(Bengang General Hospital of Liaoning Health Industry Group,Liaoning Benxi 117000)

机构地区：[1]辽宁省健康产业集团本钢总医院,辽宁本溪117000

出　　处：《中国医疗器械信息》2022年第16期86-88,共3页China Medical Device Information

摘　　要：目的:探讨超声引导下经会阴穿刺与经直肠穿刺诊断前列腺癌的临床价值。方法:选取2019年3月~2020年3月本院收治的70例疑似前列腺癌患者,根据不同诊断方式分为会阴组与直肠组,每组35例。结果:会阴组获取标本长度相比于直肠组较长;会阴组穿刺后并发症发生率相比于直肠组较低,P<0.05;两组对前列腺癌的检出准确率差异无统计学意义,P>0.05。两组G1eason评分均≥5分。经过临床手术病理确诊,前列腺癌共有28例,良性前列腺增生有42例,前列腺癌患者形态不对称、外腺低/等回声结节、液性回声检出率均高于良性前列腺增生患者,P<0.05,两组体积增大、钙化检出率无统计学意义,P>0.05。结论:临床对于前列腺癌的诊断方式,需要结合患者的实际年龄、前列腺体积及身体状况等因素决定,经会阴穿刺诊断方式获取标本较长,且术后并发症发生率较低。目前,在临床上两种诊断方式对于前列腺癌诊断的准确率没有明显的差异,相对来说会阴穿刺效果更好。Objective:To explore the clinical value of ultrasound-guided transperineal puncture and transrectal puncture in the diagnosis of prostate cancer.Methods:70 patients with suspected prostate cancer admitted to our hospital from March 2019 to March 2020 were selected and divided into perineal group and rectal group according to different diagnosis methods,with 35 cases in each group.Results:The length of specimens obtained in the perineal group was longer than that in the rectal group;The incidence of complications after perineal puncture was lower in the perineal group than in the rectal group,P<0.05;There was no significant difference in the detection accuracy of prostate cancer between the two groups,P>0.05.The G1eason score of both groups was≥5.After clinical,surgical and pathological diagnosis,there were 28 cases of prostate cancer and 42 cases of benign prostatic hyperplasia.The detection rate of prostate cancer patients was higher than that of benign prostatic hyperplasia patients with asymmetric morphology,hypo/isoechoic nodules of external glands,and liquid echoes.P<0.05,the volume of the two groups increased,and the detection rate of calcification was not statistically significant,P>0.05.Conclusion:The clinical diagnosis method for prostate cancer needs to be determined by considering the actual age,prostate volume and physical condition of the patient.The diagnosis method of perineal puncture takes longer to obtain specimens,and the incidence of postoperative complications is lower.At present,there is no obvious difference in the accuracy of the two diagnostic methods for prostate cancer diagnosis in clinical practice.Relatively speaking,the effect of perineal puncture is better.

关 键 词：超声引导 会阴穿刺 直肠穿刺 前列腺癌 应用价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]