经直肠超声引导前列腺穿刺活检203例临床分析

目的评估经直肠超声引导的前列腺六针穿刺活检在前列腺癌及前列腺其他疾病的诊断和鉴别诊断的价值。方法对指肛检查阳性，血清PSA〉4pg／L及经直肠超声检查前列腺声像图异常怀疑有占位性病变的203人进行经直肠超声引导的前列腺穿刺活检。结果穿刺活检的203例病理结果：良性前列腺增生（BPH）104例占51．24％，前列腺癌（PCa）95例占46．80％，前列腺结核及前列腺平滑肌肉瘤各2例，分别占0．98％。结论经直肠超声引导的前列腺穿刺活检其操作简单，病人痛苦小，并发症少，较安全。在前列腺癌及其他前列腺疾病的诊断与鉴别诊断中有重要的临床价值。

Clinical analysis of transrectal ultrasound prostate biopsy (report of 203 cases)

Objective To evaluate the clinical diagnosis and differentiative diagnosis of transrectal ultrasound guided prostatic biopsies utilized to detect prostate cancer(PCa) and other prostatic diseases.Methods Transrectal ultrasound guided biopsy was performed on 203 patients whose digital rectal examination showed positive results,serum PSA>4 pg/L,and transrectal ultrasound results showed suspected abnormalities.Results The results showed 104 cases(51.24%) of benige prostate hyperplasia(BPH),95(46.80%) prostate cancer(PCa),2(0.98%) tuberculosis (TB) and 2(0.98%) sarcoma.Conclusion Biopsy guided by transrectal ultrasound is convenient and safe,at the same time,patients suffer less and have few complications.It can be widely used in clinical diagnosis and differentative diagnosis of protate diseases.