基于mpMRI的超声认知融合引导下经会阴前列腺穿刺活检术在前列腺肿瘤患者中的诊断价值  

Value of mpMRI-Based Ultrasound-Cognitive Fusion Guided Transperineal Prostate Puncture Biopsy in the Diagnosis of Patients with Prostate Tumors

作　　者：魏小玲 李枝鸣 曾婷 WEI Xiaoling;LI Zhiming;ZENG Ting(Department of Ultrasound Diagnosis,The First People’s Hospital of Nankang District,Ganzhou 341000,China)

机构地区：[1]江西省赣州市南康区第一人民医院超声诊断科,江西赣州341000

出　　处：《中国伤残医学》2024年第18期102-104,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨基于多参数磁共振成像(mpMRI)的超声认知融合引导下经会阴前列腺穿刺活检术在前列腺肿瘤患者鉴别诊断中的应用价值。方法:回顾性分析2022年3月-2024年1月赣州市南康区第一人民医院诊治的103例前列腺肿瘤患者资料,根据手术病理检查的肿瘤恶性度结果将其分为恶性组(n=46)和良性组(n=57)。两组均接受基于mpMRI的超声认知融合引导下经会阴前列腺穿刺活检及系统穿刺活检,统计两种检查方式对前列腺肿瘤良恶性的检出情况,并比较前列腺肿瘤良恶性的诊断情况。结果:基于mpMRI的超声认知融合辅助穿刺活检检出前列腺恶性肿瘤44例、前列腺良性肿瘤54例;系统穿刺活检检出前列腺恶性肿瘤35例、前列腺良性肿瘤52例。超声认知融合引导经会阴前列腺穿刺活检对前列腺癌诊断敏感度为95.65%、准确度为95.15%、阴性预测值为96.43%,分别高于系统穿刺活检的76.09%、84.47%、82.54%,差异均有统计学意义(P<0.05)。超声认知融合引导经会阴前列腺穿刺活检对前列腺癌诊断特异度为94.74%、阳性预测值为93.62%,与系统穿刺活检的91.23%、87.50%相比较,差异均无统计学意义(P>0.05)。结论:通过超声认知融合引导下经会阴前列腺穿刺活检术对前列腺肿瘤实施诊断,可有效鉴别前列腺恶性度,敏感度、准确度、阴性预测值均较高。Objective:To investigate the value of mpMRI-based ultrasound-cognitive fusion guided transperineal prostate puncture biopsy in the diagnosis of patients with prostate tumors.Methods:The data of 103 patients with prostate cancer diagnosed and treated in the First People’s Hospital of Nankang District from March 2022 to January 2024 were retrospectively analyzed.They were divided into a malignant group(n=46)and a benign group(n=57)according to the results of tumor malignancy in surgical and pathological examination.Both groups received mpMRI-based ultrasound-cognitive fusion guided transperineal prostate puncture biopsy and systematic puncture biopsy.The detection of benign and malignant prostate tumors by the two examination methods was statistically analyzed,the diagnosis of benign and malignant prostate tumors was compared.Results:A total of 44 cases of malignant prostate tumor and 54 cases of benign prostate tumor were detected by mpMRI-based ultrasound-cognitive fusion guided transperineal prostate puncture biopsy.Systematic puncture biopsy detected 35 cases of malignant prostate tumor and 52 cases of benign prostate tumor.The sensitivity,accuracy and negative predictive value of mpMRI-based ultrasound-cognitive fusion guided transperineal prostate puncture biopsy for prostate cancer diagnosis were 95.65%,95.15%and 96.43%,respectively,which were higher than 76.09%,84.47%and 82.54%of systematic biopsy respectively,with statistical significance(P<0.05).The diagnostic specificity and positive predictive value of mpMRI-based ultrasound-cognitive fusion guided transperineal prostate puncture biopsy for prostate cancer were 94.74%and 93.62%,respectively,compared with 91.23%and 87.50%of systemic biopsy,there were no significant differences(P>0.05).Conclusion:In summary,mpMRI-based ultrasound-cognitive fusion guided transperineal prostate puncture biopsy can effectively differentiate prostate malignancy,with high sensitivity,accuracy and negative predictive value.

关 键 词：前列腺肿瘤 超声认知融合 经会阴前列腺穿刺活检术 诊断 

分 类 号：R737[医药卫生—肿瘤]