徒手和超声引导经直肠前列腺穿刺活检术两种方法讨论.docVIP

徒手和超声引导经直肠前列腺穿刺活检术两种方法讨论 ght side of 6, send pathological examination, another kind of suspected prostate cancer 63 patients TRUS chose according to puncture point (both for both sides were about 6), through prostate biopsy (rectum ultrasonographic examination the suspicious PCA nodules, was in the puncture 1-2 needle (conventional bottom+central+Tip of the prostate+Ultrasound doubt piont). If no specific ultrasonographic lesions, respectively of the prostate gland in bilateral bottom, in tip of the needle biopsy specimens, puncture 6 fully meet the requirements of the histological examination. Results: A group of 39 cases, average age 71.4 years old; B group of 43 cases, average age 72.3 years old. The rectum refers to examines the discovery prostate gland tubercle several A groups of 4 cases, B group of 2 cases; Two group of puncture selections were good, obtains the pathology result. Altogether picks out the prostate gland cancer 20 cases, A group of 6 cases, B group of 14 cases, the detection rate respectively was 15.38% and 22.22%. In A group had 3 cases to leak examines, in B group did not had 1 case to leak examines, B group had 2 cases only 1 point of puncture to had the cancer to organize, for diameter only 5 mm prostate gland single shot small cancer lumps. A group of 39 cases had not been able to inspect in the PIN, B group to had the prostate gland epidermis the PIN Ⅰ 3 cases, the PIN Ⅱ 2 cases, A group of 6 cases were the mid and late stage patients, B group of 8 cases were the early patients, 6 cases were the mid and late stage patients. Conclusion: According to TRUS positioning line needle biopsies unarmed line with needle biopsies, can improve the PCA detection rate, to reduce the complications to early diagnosis and early treatment. 　　[Key words] Prostate cancer; Unarmed and TURS puncture; Rectum; Biopsy 　　前列腺癌是老年男性常见的恶性肿瘤之一，随着我国人口老龄化、环境因素和饮食结构的改变，前列腺癌的发病率逐年提高，目前我国前列腺癌在泌尿、生殖系统恶性肿瘤中发病率跃居第三位[1]，由于前列腺癌早期无特异性临床症状，易被忽视，因而早期诊断较为困难，前列腺穿刺活检是诊断前列腺癌的首要方法，但如