经直肠超声造影辅助前列腺穿刺活检与前列腺系统穿刺活检在前列腺癌诊断中的比较研究.docVIP

经直肠超声造影辅助前列腺穿刺活检与前列腺系统穿刺活检在前列腺癌诊断中的比较研究 　　【摘要】目的：分析并探讨经直肠超声造影辅助前列腺穿刺活检与前列腺系统穿刺活检的差异。方法：选取2010年1月至2015年5月期间在我院接受治疗的可疑前列腺癌患者300例，分为观察组和对照组，每组150例。观察组采用经直肠前列腺超声造影辅助前列腺穿刺活检，对照组则采用系统的前列腺12针穿刺活检。结果：观察组前列腺癌57例，占38.00%，人均穿刺（9.3±1.4）针，单针阳性率为18.21%，Gleason评分为（7.1±0.5）分。对照组前列腺癌54例，占35.33%，人均穿刺12针，单针阳性率为11.17%，Gleason评分为（6.6±0.5）分。两组前列腺癌诊断率无显著差异，观察组其他各项指标明显优于对照组，经统计学检验，差异具有统计学意义（P0.05）。观察组造影异常70例（46.7%），确诊前列腺癌41例，人均穿刺（6.19±0.7）针，单针阳性率为43.91%（191/435）；观察组造影正常80例（53.3%），确诊前列腺癌16例，人均穿刺12针，单针阳性率为6.56%（63/960）。结论：经直肠超声造影辅助前列腺穿刺活检与前列腺系统穿刺活检相比效率更高，临床上值得推广。 　　【关键词】前列腺穿刺活检；超声造影；超声 　　Comparative study of trans-rectal ultrasound contrast-assisted prostate biopsy and prostate system biopsyHONG Yun1， CHEN Jun2. 1.Department of Urology， Wenling Fourth People’s Hospital， Taizhou 317511， Zhejiang， China； 2.Department of Urology， Wenling First People’s Hospital， Taizhou 317500， Zhejiang， China 　　【Abstract】Objectives： To analyze and discuss the differences between trans-rectal ultrasound contrast-assisted prostate biopsy and prostate system biopsy. Methods： 300 cases of suspected prostate cancer treated in in Wenling City Fourth People’s Hospital from January 2010 to May 2015 were selected and divided into two groups as control group and observation group， with 150 cases in each group. Observation group received trans-rectal ultrasound-assisted prostate biopsy and control group received 12 prostate needles biopsy. Results： There were 57 cases of prostate cancer in observation group， accounting for 38.00%， per capita puncture （9.3 ± 1.4）. Single needle positive rate was 18.21% and Gleason score was （7.1 ± 0.5） points. There were 54 cases of prostate cancer in control group， accounting for 35.33%， per capita puncture （12）. Single needle positive rate was 11.17% and Gleason score was （6.6 ± 0.5） points. There were no significant differences in prostate cancer diagnosis between observation group and control group. Other indicators in observation group were better than these in control group，