经会阴彩超联合磁共振精准前列腺穿刺对前列腺癌诊断的临床研究.docx

经会阴彩超联合磁共振精准前列腺穿刺对前列腺癌诊断的临床研究

高加胜蒋轶张海峰张文圣

[关键词]?前列腺癌；经会阴前列腺穿刺；经直肠前列腺穿刺；磁共振精准穿刺；诊断价值

[中图分类号]?R445.1??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.11.003

Clinical?study?of?precise?prostate?puncture?by?perineal?color?ultrasound?combined?with?magnetic?resonance?in?the?diagnosis?of?prostate?cancer

GAO?Jiasheng，?JIANG?Yi，?ZHANG?Haifeng，?ZHANG?Wenshneg

Department?of?Urology，?The?First?Peoples?Hospital?of?Jiujiang，?Jiujiang?332000，?Jiangxi，?China

[Abstract]?Objective?To?explore?the?clinical?effect?of?perineal?color?ultrasound?combined?with?magnetic?resonance?imaging?（MRI）?in?the?diagnosis?of?prostate?cancer.?Methods?A?retrospective?analysis?was?performed?on?80?patients?with?prostate?biopsy?in?our?hospital?from?July?2020?to?September?2022.?According?to?different?puncture?methods，?they?were?divided?into?transrectal?prostate?biopsy?（TRPB）?group?（40?cases）?and?transperineal?prostate?biopsy?（TPPB）?group?（40?cases）.?With?pathological?examination?results?as?the?gold?standard，?puncture?time，?puncture?needle?number，?puncture?positive?needle?number，?pathological?examination?results，?Gleason?score?and?complication?rate?of?the?two?methods?were?analyzed，?and?the?diagnostic?value?of?TRPB?and?TPPB?in?prostate?cancer?was?also?analyzed.?Results?There?were?no?significant?differences?in?the?number?of?puncture?needles，?the?number?of?puncture?positive?needles，?the?malignant?rate?of?pathological?examination?and?Gleason?score?between?the?two?groups?（P0.05）.?The?puncture?time?in?TRPB?group?was?longer?than?that?in?TPPB?group?（P0.05）.?The?incidence?of?postoperative?fever?and?puncture?point?bleeding?in?TRPB?group?was?higher?than?that?in?TPPB?group，?and?the?incidence?of?pain?was?lower?than?that?in?TPPB?group，?with?statistical?differences?（P0.05）.?There?was?no?significant?difference?in?the?incidence?of?hematuria?and?lower?urinary?tract?symptoms?between?the?two?groups?（P0.05）.?The?accuracy?of?TPPB?method?in?the?diagnosis?of?prostate?cancer?was?92.5%?higher?than?that?of?TRPB?method?（75.0%