经直肠前列腺穿刺活检的临床分析

目的 探讨经直肠前列腺穿刺活检诊断前列腺癌的临床价值.方法 194例前列腺特异性抗原(PSA)升高或直肠指诊阳性或经直肠前列腺超声发现可疑结节的患者,行超声引导下经直肠前列腺穿刺活检.结果 194例患者中前列腺癌患者51例,前列腺增生患者87例,前列腺炎患者14例,前列腺上皮内瘤(PIN)患者36例,前列腺梗死患者6例.有38例出现一过性肉眼血尿,血便20例;发热16例;败血症5例;无血精、前列腺脓肿等并发症发生.结论 经直肠前列腺穿刺活检是一种安全的方法,有助于提高前列腺癌的早期诊断及前列腺疾病的鉴别诊断.

Abstract：

Obiectives To explore the clinical value of ultrasound guided transrectal prostate biopsy for diagnosing prostate carcinoma.Methods Systemic biopsy were performed on 194 patients who had normal level of prostate specific antigen (PSA)or who had prostate nodules by digital rectal examination or on ultrasound.Results Prostate carcinoma were detected in 51 cases;Benign prostatic hyperplasia 87 cases;prostatitis 14 cases;Prostatic intraepithelial neoplasia 36 cases;Prostatic infarction 6 cases.38 patients had transient gross hematuria,20 patients had hematochezia;fever was seen in 16 patients;5 patients got Sepsis;there were no hematospermia,prostate abscess and other complications occurred.Conclusions Transrectal Ultrasound Prostate Biopsy can increase the cancer early detection and in diffematiul diagnosis with other prostate disease.It is safe and efficacioious.

The Clinical Analysis of Transrectal Ultrasound Prostate Biopsy

Obiectives To explore the clinical value of ultrasound guided transrectal prostate biopsy for diagnosing prostate carcinoma.Methods Systemic biopsy were performed on 194 patients who had normal level of prostate specific antigen (PSA)or who had prostate nodules by digital rectal examination or on ultrasound.Results Prostate carcinoma were detected in 51 cases;Benign prostatic hyperplasia 87 cases;prostatitis 14 cases;Prostatic intraepithelial neoplasia 36 cases;Prostatic infarction 6 cases.38 patients had transient gross hematuria,20 patients had hematochezia;fever was seen in 16 patients;5 patients got Sepsis;there were no hematospermia,prostate abscess and other complications occurred.Conclusions Transrectal Ultrasound Prostate Biopsy can increase the cancer early detection and in diffematiul diagnosis with other prostate disease.It is safe and efficacioious.