磁共振在前列腺癌和前列腺增生鉴别诊断中的应用价值.docVIP

磁共振在前列腺癌和前列腺增生鉴别诊断中的应用价值 　　[摘要] 目的 研究磁共振成像在前列腺特??性诊断中的临床应用价值。方法 方便选取该院在2016年2―11月收治，并经术后病理或组织活检确诊的32例前列腺疾病，其中前列腺癌（PCA）16例和前列腺增生（BPH）16例，对这32例患者进行磁共振成像（MRI）及扩散加权成像（DWI）扫描，得出扫描结果，对结果进行回顾性分析，对比MRI与组织活检结果的符合率，对比两组ADC 数值以及 DWI 扫描结果呈现的不同信号特点，对前列腺癌（PCA）与良性前列腺增生（BPH） 进行鉴别诊断，分析磁共振在前列腺特异性中的临床实用价值。 结果 MRI与前列腺癌（PCA）组织活检结果的符合率为81.25%（13/16），MRI与前列腺增生（BPH）的组织活检结果的符合率为87.5%（14/16）。DWI检查结果显示，前列腺癌病灶为的ADC值为（0.86±0.09），未被癌组织侵及的外围叶为（1.82±0.18），BPH中央叶为（1.48±0.08），BPH外围叶为（1.85±0.16），未被癌组织侵袭的外围叶同BPH外围叶之间差异无统计学意义 （P0.05），BPH中央叶、外围叶、前列腺癌病灶及未被癌组织侵及的外围叶之间差异有统计学意义（P0.05）。 结论 磁共振对前列腺特异性诊断中有较大临床使用价值，可以作为前列腺疾病的首选辅助检查方法。 　　[关键词] 前列腺癌；磁共振成像；扩散张量成像；临床应用 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）05（c）-0177-04 　　[Abstract] Objective To research the clinical application value of magnetic resonance in the prostate-specific diagnosis. Methods Convenient selection 32 cases of patients with prostatic diseases confirmed by the postoperative pathology or tissue biopsy admitted and treated in our hospital from February to November 2016 were selected and scanned by the MRI and DWI， and the scanning results were concluded and retrospectively reviewed and the coincidence rate of MRI and tissue biopsy results was compared and the ADC value and DWI scanning results showed a different signals were compared between the two groups， and the Prostate cancer and prostatic hyperplasia were given the differential diagnosis and the clinical application value of magnetic resonance in the prostate-specific diagnosis was analyzed. Results The coincidence rate of MRI and PCA tissue biopsy was 81.25%（13/16）and the coincidence rate of MRI and BPH tissue biopsy was 87.5%（14/16）， and the DWI examination results showed that the ADC value of prostate cancer lesions was（0.86±0.09） and the peripheral leaves without invasion of cancer tissue were （1.82±0.18） and the BPH lobus centralis were （1.48±0.08）， the BPH peripheral leaves were （1.85±0.16）， and the differences between the peripheral leaves without invasion of cancer tissu