CAJ | 학술논문

目的分析经会阴<10点与≥10点前列腺活检的诊断效率和并发症情况. 方法经直肠超声引导下经会阴前列腺穿刺活检900例,分2组,<10点组759例(A组),平均活检8点;≥10点组141例(B组),平均活检12点.分析2组间总活检阳性率、PSA分层活检阳性率和并发症的差异. 结果 A、B组前列腺癌检出总阳性率分别为41.6%(316/759)和51.8%(73/141),PSA≤10.0 ng/ml患者中活检阳性率分别为6.8%(16/235)和17.8%(8/45),2组比较差异有统计学意义(P<0.05).并发症发生情况:A组出现肉眼血尿者274例(36.1%),尿潴留2例;B组肉眼血尿53例(37.6%),尿潴留1例,2组并发症比较差异无统计学意义(P>0.05). 结论 ≥10点前列腺活检的诊断效率高于<10点,并发症发生率无明显差异.
목적 분석경회음<10점여≥10점전렬선활검적진단효솔화병발증정황. 방법 경직장초성인도하경회음전렬선천자활검900례,분2조,<10점조759례(A조),평균활검8점;≥10점조141례(B조),평균활검12점.분석2조간총활검양성솔、PSA분층활검양성솔화병발증적차이. 결과 A、B조전렬선암검출총양성솔분별위41.6%(316/759)화51.8%(73/141),PSA≤10.0 ng/ml환자중활검양성솔분별위6.8%(16/235)화17.8%(8/45),2조비교차이유통계학의의(P<0.05).병발증발생정황:A조출현육안혈뇨자274례(36.1%),뇨저류2례;B조육안혈뇨53례(37.6%),뇨저류1례,2조병발증비교차이무통계학의의(P>0.05). 결론 ≥10점전렬선활검적진단효솔고우<10점,병발증발생솔무명현차이.
Objective To compare the diagnostic efficacy and complications of transperineal prostate biopsy for<10 cores biopsy vs≥10 cores biopsy. Methods Nine hundred transrectal ul-trasound-guided transperineal prostate biopsies were performed. Patients were divided into 2 groups, <10 cores group and ≥10 cores group. Patient numbers of the 2 groups were 759 and 141, respec-tively. Cancer positive rate and complications were compared between the 2 groups retrospectively. Results Cancer positive rates were 41.6%(316/759) and 51.8%(73/141) in 2 groups (P<0.05). In patients of PSA≤10.0 ng/ml, cancer positive rates were 6.8% (16/235) and 17.8% (8/45) in 2 groups (P<0.05). Gross hematuria was the most common complication associated with biopsy. There was no statistical difference between the 2 groups in post-biopsy gross hematuria rate. Conclu-sions The diagnostic efficacy is higher in≥10 cores prostate biopsy than that in <10 cores prostate biopsy, There is no difference in biopsy related complications regarding biopsy core numbers.