超声引导下经直肠前列腺穿刺活检的临床应用价值

Clinical application of transrectal prostate biopsy under ultrasound guidance in diagnosis of prostatic carcinoma

摘要: 目的评价经直肠超声引导下前列腺穿刺活检的临床应用价值。方法 2008年6月-2010年5月期间对70例怀疑患有前列腺癌的患者进行超声引导下经直肠前列腺多点穿刺活检术。结果本组70例穿刺均成功获得病理标本,其中确诊前列腺癌36例,良性前列腺增生26例,前列腺炎8例。穿刺术后发生血尿12例、发热23例,及时对症治疗症状消失,无其他严重并发症发生。结论超声引导下经直肠前列腺多点穿刺活检术操作简单、安全,有助于提高前列腺癌的早期诊断率。

Abstract: Objective To evaluate the clinical application of transrectal prostate biopsy under ultrasound guidance in diagnosis of prostatic carcinoma.Methods Transrectal prostate biopsy was performed under ultrasound guidance in 70 patients with suspected prostatic carcinoma in June 2008-May 2010.Results Biopsy samples were obtained from the 70 patients.Of these patients,36 were diagnosed as prostatic carcinoma,26 as benign prostatic hyperplasia,and 8 as prostatitis.Hematuria and fever occurred in 12 and 23 patients respectively after the procedure,which disappeared after symptomatic treatment.No other severe complications occurred.Conclusion Transrectal ultrasound-guided prostate biopsy is a safe and effective procedure and can increase the early diagnosis rate of prostatic carcinoma.