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经直肠彩超引导下穿刺诊断前列腺癌的临床分析
引用本文:李想,李航,赵盛发,杨伟萍,丁战玲,李红学. 经直肠彩超引导下穿刺诊断前列腺癌的临床分析[J]. 中国医学文摘:肿瘤学, 2011, 0(4): 318-320
作者姓名:李想  李航  赵盛发  杨伟萍  丁战玲  李红学
作者单位:广西医科大学附属肿瘤医院物理诊断中心,南宁530021
摘    要:目的评估经直肠彩超引导下前列腺穿刺活检术在前列腺癌诊断和鉴别诊断中的价值。方法对直肠指检阳性或经直肠彩超检查怀疑有占位性病变的35例患者行经直肠彩超引导下前列腺穿刺活检。结果经直肠彩超引导下穿刺诊断前列腺癌的敏感度、特异度分别为84.2%、81.5%,与手术切检比较差异无统计学意义;前列腺癌病灶RI≥0.75者所占比例显著高于非前列腺癌结节者(P〈0.05)。结论经直肠彩超引导下前列腺穿刺活检操作简单、安全,对前列腺癌的诊断具有重要的指导意义。

关 键 词:经直肠彩超  前列腺癌  穿刺活检

Transrectal ultrasound-guided biopsy for diagnosing prostate cancer
LI Xiang,LI Hang,ZHAO Sheng-fa,YANG Wei-ping,DING Zhan-ling,LI Hong-xue. Transrectal ultrasound-guided biopsy for diagnosing prostate cancer[J]. Journal of Chinese Medical Abstracts·Oncology, 2011, 0(4): 318-320
Authors:LI Xiang  LI Hang  ZHAO Sheng-fa  YANG Wei-ping  DING Zhan-ling  LI Hong-xue
Affiliation:( Department of B-Ultrasound, Tumor Hos- pital of Guangxi Medical University, Nanning 530021, China). Corresponding author: LI Hang ; E-mail : lihang58@ 126. com
Abstract:Objective To evaluate the value of transrectal ultrasound (TRUS)-guided biopsy for differential diagnosing prostate cancer (PCa) from other prostatic diseases. Methods Transrectal ultrasound-guided biopsy was performed on 35 patients whose digital rectal examination showed positive results, and TRUS results showed suspected abnormalities. Results The diag- nostic sensitivity of TRUS-guided biopsy was 84. 2%, and its specificity was 81.5%. Conclusion Biopsy guided by TRUS is convenient and safe, and has important significance for clinical diagnosis.
Keywords:Transrectal ultrasound  Prostate  Biopsy
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