超声引导下经会阴13针系统联合认知融合靶向前列腺穿刺活检术诊断前列腺癌效能  

Efficacy of ultrasound-guided transperineal 13-needle system combined with cognitive fusion targeted prostate biopsy in the diagnosis of prostate cancer

作　　者：李洪法 孙家臻 苏磊[1] LI Hongfa;SUN Jiazhen;SU Lei(Department of Urology,People's Hospital of Rizhao,Rizhao,Shandong 276800,China;Department of Magnetic Resonance,People's Hospital of Rizhao,Rizhao,Shandong 276800,China)

机构地区：[1]日照市人民医院泌尿外科,山东日照276800 [2]日照市人民医院磁共振室,山东日照276800

出　　处：《医药前沿》2025年第10期46-49,共4页Journal of Frontiers of Medicine

摘　　要：目的探讨超声引导下经会阴13针系统联合认知融合靶向前列腺穿刺活检术诊断前列腺癌(PCa)的效能。方法选取日照市人民医院2022年6月—2023年6月接受前列腺穿刺活检术的疑似PCa患者180例,按照采用的穿刺活检术不同分为观察组和对照组,各90例。对照组采取超声引导下经会阴前列腺穿刺活检术,观察组采用超声引导下经会阴13针系统联合认知融合靶向前列腺穿刺活检术。比较两组诊断效能、PCa Gleason评分及并发症发生情况。结果180例患者中术后病理检查共确诊PCa 91例,观察组52例,对照组39例,观察组诊断准确率高于对照组,但是两组比较差异无统计学意义(P>0.05)。观察组诊断PCa的敏感度88.46%,特异度89.47%,漏诊率11.54%,误诊率10.53%;对照组诊断PCa的敏感度76.92%,特异度88.24%,漏诊率23.08%,误诊率11.76%。两组PCa Gleason评分比较,差异无统计学意义(P>0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论超声引导下经会阴13针系统联合认知融合靶向前列腺穿刺活检术诊断PCa的敏感度和特异度较高,漏诊和误诊率较低,且安全性较好。Objective To explore the efficacy of ultrasound-guided transperineal 13-needle system combined with cognitive fusion targeted prostate biopsy in the diagnosis of prostate cancer(PCa).Methods A total of 180 patients with suspected PCa who underwent prostate biopsy in People's Hospital of Rizhao from June 2022 to June 2023 were selected and divided into observation group and control group according to the different puncture biopsy methods,with 90 cases in each group.The control group was treated with ultrasound-guided transperineal prostate biopsy,and the observation group was treated with ultrasound-guided transperineal 13-needle system combined with cognitive fusion targeted prostate biopsy.The diagnostic efficacy,PCa Gleason score and complications were compared between the two groups.Results Among the 180 patients,91 cases were diagnosed as PCa by postoperative pathological examination,52 cases in the observation group and 39 cases in the control group.The diagnostic accuracy of the observation group was higher than that of the control group,but there was no significant difference between the two groups(P>0.05).The sensitivity,specificity,missed diagnosis rate and misdiagnosis rate of PCa in the observation group were 88.46%,89.47%,11.54%and 10.53%,respectively.The sensitivity,specificity,missed diagnosis rate and misdiagnosis rate of PCa in the control group were 76.92%,88.24%,23.08%and 11.76%,respectively.There was no significant difference in PCa Gleason score between the two groups(P>0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions Ultrasound-guided transperineal 13-needle system combined with cognitive fusion targeted prostate biopsy has high sensitivity and specificity in the diagnosis of PCa,the rate of missed diagnosis and misdiagnosis is low,and the safety is good.

关 键 词：前列腺癌 超声引导 前列腺穿刺活检术 认知融合 靶向穿刺技术 敏感度 特异度 并发症 

分 类 号：R737[医药卫生—肿瘤]