[1]邵亚军,雷霆宇,邵林海△.直肠B超会阴前列腺12点穿刺术对前列腺特异性抗原水平为4～10 ng/ml患者前列腺癌诊断价值[J].陕西医学杂志,2020,49(4):450-452，封3.
　SHAO Yajun,LEI Tingyu,SHAO Linhai..Diagnostic value of transrectal B-ultrasound-guided transperineal 12-core prostate puncture for prostate cancer patients with PSA 4～10 ng/ml[J].,2020,49(4):450-452，封3.
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直肠B超会阴前列腺12点穿刺术对前列腺特异性抗原水平为4～10 ng/ml患者前列腺癌诊断价值
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年4期
页码:
450-452，封3
栏目:
临床研究
出版日期:
2020-04-05

文章信息/Info

Title:
Diagnostic value of transrectal B-ultrasound-guided transperineal 12-core prostate puncture for prostate cancer patients with PSA 4～10 ng/ml
文章编号:
DOI:10.3969/j.issn.10007377.2020.04.016
作者:
邵亚军1; 雷霆宇1; 邵林海2△
1.西安市第一医院超声科(西安 710002); 2.陕西省汉中市中心医院泌尿科(汉中 723000)
Author(s):
SHAO Yajun; LEI Tingyu; SHAO Linhai.
Department of Ultrasound,Xi'an NO.1 Hospital(Xi'an 710002)
关键词:
直肠B超;  会阴前列腺;  12点穿刺术;  前列腺特异性抗原;  前列腺癌
Keywords:
Rectal B-ultrasound;  Perineal prostate;  12-core puncture;  Prostate specific antigen;  Prostate cancer
分类号:
R737.25
文献标志码:
A
摘要:
目的:探讨直肠B超会阴前列腺12点穿刺术对前列腺特异性抗原(PSA)4～10 ng/ml前列腺癌(PC)患者的诊断价值。方法:纳入经临床检查后疑似PC患者130例,根据穿刺方法的不同,分为会阴组(60例)和直肠组(70例)。会阴组行直肠B超会阴前列腺12点穿刺术,直肠组行B超下直肠前列腺12点穿刺术。对两组穿刺活检后的病理结果进行分析,对两组PC阳性患者疾病严重程度分布进行比较,比较会阴组和直肠组穿刺后不良反应发生率。结果:会阴组PC阳性率与直肠组比较无统计学差异(P>0.05)。会阴组共检出PC阳性患者29例(48.33%),直肠组共检出PC阳性患者21例(30.00%)。两组PC严重程度分布比较,差异有统计学意义(P<0.05)。会阴组感染、血便的发生率均明显低于直肠组(P<0.05)。会阴组和直肠组血尿和尿潴留发生率比较,差异无统计学意义(P>0.05)。会阴组的不良反应发生率明显低于直肠组(P<0.05)。结论:与经直肠途径相比,直肠B超下经会阴前列腺12点穿刺术的穿刺阳性率较高,安全性好,在PSA 4～10 ng/ml的患者中诊断价值更高。
Abstract:
Objective:To investigate the diagnostic value of transrectal B-ultrasound-guided transperineal 12-core prostate puncture for prostate cancer(PC)patients with PSA 4～10 ng/ml. Methods:130 suspected PC patients after clinical examination were enrolled and divided into perineum group(60 cases)and rectum group(70 cases)according to different puncture methods. The perineum group underwent transperineal 12-core prostate puncture,and the rectum group underwent transrectal 12-core prostate puncture. The pathological results of the two groups were analyzed. The distribution of disease severity in two groups of PC-positive patients,as well as the incidence of adverse reactions in two groups,were compared. The incidence of adverse reactions after puncture was compared between the perineal group and the rectal group. Results:The PC-positive rate in the perineal group was significantly higher than that in the rectal group(P>0.05). A total of 29 PC-positive patients(48.33%)were detected in the perineal group,and 21 PC-positive patients(30.00%)were detected in the rectal group. The distribution difference of PC severity between the two groups was statistically significant(P<0.05). The incidence of infection and bloody stool in the perineal group were significantly lower than those between the rectal group(P<0.05). There was no significant difference in the incidence of hematuria and urinary retention between the perineal group and rectal group(P>0.05). The incidence of adverse reactions in the perineal group was significantly lower than that in the rectal group(P<0.05). Conclusion:Compared with the transrectal approach,the percutaneous transrectal perineal prostate puncture under the B-mode ultrasound has a higher positive rate and better safety,which has higher diagnostic value in patients with PSA 4～10 ng/ml.

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更新日期/Last Update: 2020-04-13