CAJ | 학술논문

目的：探讨经直肠超声（TRUS）引导下6+X点前列腺穿刺活检术诊断前列腺癌的临床价值。方法回顾性分析127例可疑前列腺癌患者的临床资料和经直肠超声引导下6+X点前列腺穿刺活检术的结果。6+X点前列腺穿刺活检术即在标准的经直肠超声引导6点前列腺系统穿刺活检术同时，增加异常可疑回声结节或区域的X定点穿刺。结果穿刺组织病理结果：前列腺癌45例，检出率35.4%；前列腺增生及增生伴炎症82例。并发症血尿12例，大便带血5例，发热3例，无其他严重并发症。结论经直肠超声引导下6+X点前列腺穿刺活检法定位准确，操作简便，并发症少，安全可靠，对前列腺癌的早期诊断具有很高的临床价值。
목적：탐토경직장초성（TRUS）인도하6+X점전렬선천자활검술진단전렬선암적림상개치。방법회고성분석127례가의전렬선암환자적림상자료화경직장초성인도하6+X점전렬선천자활검술적결과。6+X점전렬선천자활검술즉재표준적경직장초성인도6점전렬선계통천자활검술동시，증가이상가의회성결절혹구역적X정점천자。결과천자조직병리결과：전렬선암45례，검출솔35.4%；전렬선증생급증생반염증82례。병발증혈뇨12례，대편대혈5례，발열3례，무기타엄중병발증。결론경직장초성인도하6+X점전렬선천자활검법정위준학，조작간편，병발증소，안전가고，대전렬선암적조기진단구유흔고적림상개치。
Objective To explore the clinical value of transrectal ultrasound guided 6+X points prostate biopsy in the diagnosis of prostate cancer. Methods A total of 127 men underwent Trus-guided biopsy with the 6+X method for diagnosis of suspected prostate carcinoma.Their clinical data were retrospectively analyzed. Results Of 127 patients, 45(35.4%) were prostate carcinoma, 45cases (18.9%) Complications after prostatic biopsy in chuded gross hematuria in,12cases had blood urine, 5cases blood stool, and fever in 3, but no other serious complications were observed. Conclusion TRUS-guided transperineal biopsy with the 6+X method ,precise location,significantly inprove the positive biopsy rate. It showed higher clinical value in early diagnosis of PCA.