CAJ | 학술논문

目的：总结经直肠B超诊断前列腺增生（ BPH ）的图像特征及对手术的指导作用。方法回顾性分析92例BPH患者经直肠B超图像特征，并根据B超探查结果选择合理治疗方法。结果 B超诊断BHP符合率95．65％、漏诊率3．26％、误诊率1．08％；BPH病灶多呈均匀细小光点，内腺以低回声为主，外腺以强回声为主；包膜清晰占62．92％。确诊为BPH的88例患者中，13例注射无水乙醇，11例行开放性手术，64例行经尿道电切术。结论经直肠B超诊断前列腺增生正确率高，对手术治疗有良好指导作用。
목적：총결경직장B초진단전렬선증생（ BPH ）적도상특정급대수술적지도작용。방법회고성분석92례BPH환자경직장B초도상특정，병근거B초탐사결과선택합리치료방법。결과 B초진단BHP부합솔95．65％、루진솔3．26％、오진솔1．08％；BPH병조다정균균세소광점，내선이저회성위주，외선이강회성위주；포막청석점62．92％。학진위BPH적88례환자중，13례주사무수을순，11례행개방성수술，64례행경뇨도전절술。결론경직장B초진단전렬선증생정학솔고，대수술치료유량호지도작용。
Objective To summarize the image features of B-type ultrasound in the diagnosis of benign prostatic hyperplasia and its guiding role in surgery .Methods A retrospective analysis of trans-rectal B-picture feature of 92 patients with BPH was performed ,and appro-priate treatment was chosen based on B-probe.Results The correct rate of B ultrasound in the diagnosis of BHP was 95.65%,the missed di-agnosis rate was 3.26%,and misdiagnosis rate was 1.08%;BPH lesions were mostly even tiny points of light ,the inner gland was hypoecho-ic,and the outer gland was mixed with hypoechoic;clear envelope accounted for 62.92%.Among the diagnosed BPH 88 patients,13 cases re-ceived injection of ethanol ,11 cases had open surgery ,and 64 patients undertook transurethral resection .Conclusion The accurate rate of trans-rectal B-type ultrasound is high and it has a good guiding role in surgery .