经直肠超声引导下前列腺穿刺在前列腺疾病中的诊断价值

【目的】探讨经直肠超声（TRUS）引导下前列腺穿刺活检术在前列腺疾病诊断中的价值。【方法】收集前列腺特异性抗原（PSA）升高、经 TRUS发现前列腺异常的患者105例进行超声引导下前列腺穿刺活检术，采用经直肠6点穿刺法取组织条送病检。【结果】105例患者中前列腺炎3例、前列腺增生38例，前列腺癌64例，取材成功率100％，无血精、前列腺脓肿、败血症等严重并发症发生。【结论】超声引导下经直肠前列腺穿刺活检是诊断前列腺疾病的重要方法，其安全简便、准确性和成功率高，能有效的进行良恶性的鉴别及组织学诊断。

Value of Trans-rectal Prostate Puncture in the Diagnosis of Prostatic Diseases

Objective]To explore the value of trans-rectal prostate puncture biopsy in the diagnosis of prostatic diseases.Methods]Totally 105 patients with elevated PSA and abnormal prostates detected by trans-rectal ultrasonic examination（TRUS）underwent prostate puncture biopsy.Trans-rectal six-point punc-ture method was used to collect tissues for pathological examination.Results]Among 105 patients,3 pa-tients were prostatitis,and 38 patients were prostatic hyperplasia,and 64 patients were prostate cancer.The success rate of tissue collection reached 100%.No severe complications such as hemospermia,prostate abscess and sepsis occurred.Conclusion]Trans-rectal prostate puncture biopsy guided by ultrasonography is an im-portant method of diagnosing prostatic diseases.It is safe and accurate,and has high success rate,and can be effective in the differential and histological diagnosis of benign and malignant disease.