CAJ | 학술논문

目的：评估B超引导下经直肠前列腺12点穿刺活检术的安全性及对前列腺癌的诊断价值。方法统计我院自2011年6月至2014年6月行B超引导下经直肠前列腺12点穿刺活检术的患者238例。在前列腺两侧旁正中线矢状切面尖部、中部和底部各穿刺3点，左右侧外周带各2点，对超声检查发现前列腺结节及中叶穿刺1~3点。结果在238例患者中，前列腺癌患者82例(34.45%)，前列腺增生患者69例(29.00%)，前列腺增生合并慢性前列腺炎患者87例(36.55%)。其中72例患者出现肉眼血尿（30.25%）、血便21例（8.88%）、急性尿潴留35例（14.70%）、发热14例（4.34%）、脓毒症4例（1.68%），无其他严重并发症。结论B超引导下经直肠前列腺12点穿刺活检术对前列腺癌的检出率高、操作简便、患者痛苦小、并发症少，是临床诊断前列腺癌的一种快速、安全、有效的诊断方法，具有较好的临床应用价值。
목적：평고B초인도하경직장전렬선12점천자활검술적안전성급대전렬선암적진단개치。방법통계아원자2011년6월지2014년6월행B초인도하경직장전렬선12점천자활검술적환자238례。재전렬선량측방정중선시상절면첨부、중부화저부각천자3점，좌우측외주대각2점，대초성검사발현전렬선결절급중협천자1~3점。결과재238례환자중，전렬선암환자82례(34.45%)，전렬선증생환자69례(29.00%)，전렬선증생합병만성전렬선염환자87례(36.55%)。기중72례환자출현육안혈뇨（30.25%）、혈편21례（8.88%）、급성뇨저류35례（14.70%）、발열14례（4.34%）、농독증4례（1.68%），무기타엄중병발증。결론B초인도하경직장전렬선12점천자활검술대전렬선암적검출솔고、조작간편、환자통고소、병발증소，시림상진단전렬선암적일충쾌속、안전、유효적진단방법，구유교호적림상응용개치。
Objective To explore the safety and clinical value of B ultrasound guided transrectal 12 cores prostate biopsy for diagnosing prostate carcinoma. Methods From June 2011 to June 2014, 495 patients who received transrectal ultrasound guided 12 cores prostate biopsy were analyzed retrospectively. Three points at each of the right and left lobe, and 2 points at the midlobar were punctured. If a hypoechoic area was identiifed, 1-3 points were taken from this area and the midlobar. Results Prostate carcinoma were detected in 82 patients (34.45%), benign prostatic hyperplasia 69 cases(29.00%), prostatitis 87 cases(36.55%). 72 patients had gross hematuria(30.25%), 21 patients had hematochezia(8.88%), 14 patients got fever(4.34%) and 4 patients had sepsis. There were no other severe complications occurred. Conclusions B ultrasound guided transrectal 12 cores prostate biopsy is a effective and safe method for diagnosing prostate carcinoma. It should be considered the ifrst choice to diagnose prostate carcinoma.