多模态经直肠超声与MRI检查在前列腺癌诊断中的应用价值比较  

Comparison of the application value of multimodal transrectal ultrasonography and MRI in the diagnosis of prostate cancer

作　　者：李辉 刘凤菊 LI Hui;LIU Fengju(Imaging Department,Kaifeng Longhai Hospital,Kaifeng 475000;Rehabilitation Department,Kaifeng Central Hospital,Kaifeng 475000,China)

机构地区：[1]开封市陇海医院影像科,河南开封475000 [2]开封市中心医院康复科,河南开封475000

出　　处：《临床医学研究与实践》2025年第5期81-84,共4页Clinical Research and Practice

摘　　要：目的比较多模态经直肠超声(TRUS)与MRI检查在前列腺癌(PCa)诊断中的应用价值。方法选取2020年6月至2022年6月开封市陇海医院收治的100例疑似PCa患者进行回顾性研究,所有患者均行多模态TRUS和MRI检查。以病理检查结果作为金标准,比较两种检查方法对PCa的检出率及诊断灵敏度、特异度、准确度与穿刺活检并发症的发生率。结果100例疑似PCa患者中,病理检查诊断PCa 60例(60.00%),良性前列腺增生症(BHP)40例(40.00%);多模态TRUS检查诊断PCa 55例(55.00%),BPH 45例(45.00%);多模态MRI检查诊断PCa 57例(57.00%),BPH 43例(43.00%)。多模态TRUS与MRI检查对PCa的检出率分别为55.00%、57.00%,差异无统计学意义(P>0.05)。多模态TRUS诊断PCa的灵敏度、特异度及准确度分别为83.33%、87.50%、85.00%,多模态MRI检查诊断PCa的灵敏度、特异度及准确度分别为91.67%、95.00%、93.00%;多模态TRUS与MRI检查诊断PCa的灵敏度、特异度及准确度比较,差异无统计学意义(P>0.05)。多模态TRUS与MRI检查的并发症总发生率比较,差异无统计学意义(P>0.05)。结论多模态TRUS与MRI检查在PCa诊断中均有较高的应用价值,值得推广及应用。Objective To compare the application value of multimodal transrectal ultrasound(TRUS)and MRI in the diagnosis of prostate cancer(PCa).Methods A retrospective study was performed on 100 patients with suspected PCa admitted in Kaifeng Longhai Hospital from June 2020 to June 2022,all patients underwent multimodal TRUS and MRI examinations.The result of pathological examination was used as the gold standard,the detection rate and the diagnostic sensitivity,specificity,accuracy of PCa and the incidence of complications of puncture biopsy were compared between the two methods.Results Among the 100 suspected PCa patients,60 cases(60.00%)were diagnosed as PCa and 40 cases(40.00%)were diagnosed as benign prostatic hyperplasia(BPH)by pathological examination;55 cases(55.00%)were diagnosed as PCa and 45 cases(45.00%)were diagnosed as BPH by multimodal TRUS;57 cases(57.00%)were diagnosed as PCa and 43 cases(43.00%)were diagnosed as BPH by multimodal MRI.The detection rates of PCa by multimodal TRUS and MRI were 55.00%and 57.00%,respectively,and the difference was not statistically significant(P>0.05).The sensitivity,specificity and accuracy of multimodal TRUS in the diagnosis of PCa were 83.33%,87.50%and 85.00%,respectively;the sensitivity,specificity and accuracy of multimodal MRI in the diagnosis of PCa were 91.67%,95.00%and 93.00%,respectively;there were no significant differences in sensitivity,specificity and accuracy between the multimodal TRUS and MRI in the diagnosis of PCa(P>0.05).There was no significant difference in the total incidence of complications between multimodal TRUS and MRI(P>0.05).Conclusion Multimodal TRUS and MRI have high application value in the diagnosis of PCa,which is worthy of promotion and application.

关 键 词：多模态经直肠超声 多模态MRI 前列腺癌 

分 类 号：R44[医药卫生—诊断学]