CAJ | 학술논문

目的探讨当PSA＞ 10ng/ml时经直肠前列腺穿刺活检的临床价值。方法对120例前列腺特异性抗原(PSA)＞ 10ng/ml的患者行超声引导下经直肠前列腺穿刺活检。结果 120例患者中前列腺癌患者46例，前列腺增生患者44例，前列腺炎患者9例，前列腺上皮内瘤(PIN)患者19例，前列腺梗死患者3例。有38例出现一过性肉眼血尿；发热16例；败血症5例；无血精、前列腺脓肿等并发症发生。结论PSA＞ 10ng/ml不能作为前列腺穿刺活检的绝对指征，应该综合考虑DRE、TRUS、PSA，提高穿刺阳性率，同时避免不必要的穿刺。
목적 탐토당PSA＞ 10ng/ml시경직장전렬선천자활검적림상개치。방법 대120례전렬선특이성항원(PSA)＞ 10ng/ml적환자행초성인도하경직장전렬선천자활검。결과 120례환자중전렬선암환자46례，전렬선증생환자44례，전렬선염환자9례，전렬선상피내류(PIN)환자19례，전렬선경사환자3례。유38례출현일과성육안혈뇨；발열16례；패혈증5례；무혈정、전렬선농종등병발증발생。결론PSA＞ 10ng/ml불능작위전렬선천자활검적절대지정，응해종합고필DRE、TRUS、PSA，제고천자양성솔，동시피면불필요적천자。
Objectives To explore the clinical value of ultrasound guided trasrectal prostate biopsy When the PSA ＞ 10ng/ml. Methods The ultrasound guided transrectal prostate biopsy were performed on 120 patients whose PSA ＞ 10ng/ml. Results Prostate carcinoma were detected in 46 cases; Benign prostatic hyperplasia 44 cases;prostatitis 9 cases;Prostatic intraepithelial neoplasia 19 cases; Prostatic infarction 3 cases. 38 patients had transient gross hematuria; fever was seen in 16 patients; 5 patients got Sepsis; there were no hematospermia, prostate abscess and other complications occurred. Conclusions PSA ＞ 10ng/ml can not serve as a reliable indicator for prostate biopsy. We should consider DRE, TRUS, PSA, Only in this way, can we improve the positive rate of prostate biopsy, avoid unnecessary biopsy on patients.