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 |
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引用本文: | 匡驰,李文彬,唐水娟,欧阳涛,秦昂.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[J].医学临床研究,2014(5):950-952. |
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作者姓名: | 匡驰 李文彬 唐水娟 欧阳涛 秦昂 |
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作者单位: | 湖南省肿瘤医院超声内镜科,湖南长沙410013 |
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摘 要: | 【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。
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关 键 词: | 前列腺疾病 诊断 活组织检查 针吸 |
Value of Trans-rectal Prostate Puncture in the Diagnosis of Prostatic Diseases |
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Institution: | KUANG Chi, LI Wen-bin, TANG Shui-juan,et al (Department of Ultrasonic Endoscope, Hunan Tumor Hospital, Changsha 410013, China ) |
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Abstract: | 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. |
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Keywords: | Prostatic Diseases/DI Biopsy Needle |
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