中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
11期
12-14
,共3页
张尊胜%梁军号%张铁龙%钱苏波
張尊勝%樑軍號%張鐵龍%錢囌波
장존성%량군호%장철룡%전소파
前列腺肿瘤%穿刺术%Gleason评分
前列腺腫瘤%穿刺術%Gleason評分
전렬선종류%천자술%Gleason평분
Prostatic neoplasms%Punctures%Gleason score
目的 探讨前列腺癌根治术中穿刺标本Gleason评分及穿刺阳性针数比例与术后病理切缘阳性之间的相关性.方法 130例经穿刺病理证实的局限性前列腺癌患者行前列腺癌根治术,分析其穿刺后的Gleason评分、穿刺阳性针数比例与术后病理切缘阳性率之间的关系.结果 130例穿刺标本,Gleason评分6分组50例,切缘阳性率为10.00％ (5/50);Gleason评分7分组65例,切缘阳性率为21.54％(14/65);Gleason评分8分组13例,切缘阳性率为0;Gleason评分9分组2例,切缘阳性率为0,不同穿刺标本Gleason评分各组之间切缘阳性率比较差异无统计学意义(x2=5.917 5,P＞ 0.05).穿刺阳性针数比例统计共89例,阳性针数比例1％～ 25％组30例,切缘阳性率为3.33％(1/30);阳性针数比例26％～50％组27例,切缘阳性率为11.11％(3/27);阳性针数比例51％ ～ 75％组18例,切缘阳性率为6/18;阳性针数比例76％～100％组14例,切缘阳性率为4/14,不同穿刺阳性针数比例各组之间切缘阳性率比较差异有统计学意义(x2=9.861 8,P＜ 0.05).结论 前列腺癌穿刺标本Gleason评分与术后病理切缘之间无相关性,而穿刺阳性针数比例与术后病理切缘之间有相关性.
目的 探討前列腺癌根治術中穿刺標本Gleason評分及穿刺暘性針數比例與術後病理切緣暘性之間的相關性.方法 130例經穿刺病理證實的跼限性前列腺癌患者行前列腺癌根治術,分析其穿刺後的Gleason評分、穿刺暘性針數比例與術後病理切緣暘性率之間的關繫.結果 130例穿刺標本,Gleason評分6分組50例,切緣暘性率為10.00％ (5/50);Gleason評分7分組65例,切緣暘性率為21.54％(14/65);Gleason評分8分組13例,切緣暘性率為0;Gleason評分9分組2例,切緣暘性率為0,不同穿刺標本Gleason評分各組之間切緣暘性率比較差異無統計學意義(x2=5.917 5,P＞ 0.05).穿刺暘性針數比例統計共89例,暘性針數比例1％～ 25％組30例,切緣暘性率為3.33％(1/30);暘性針數比例26％～50％組27例,切緣暘性率為11.11％(3/27);暘性針數比例51％ ～ 75％組18例,切緣暘性率為6/18;暘性針數比例76％～100％組14例,切緣暘性率為4/14,不同穿刺暘性針數比例各組之間切緣暘性率比較差異有統計學意義(x2=9.861 8,P＜ 0.05).結論 前列腺癌穿刺標本Gleason評分與術後病理切緣之間無相關性,而穿刺暘性針數比例與術後病理切緣之間有相關性.
목적 탐토전렬선암근치술중천자표본Gleason평분급천자양성침수비례여술후병리절연양성지간적상관성.방법 130례경천자병리증실적국한성전렬선암환자행전렬선암근치술,분석기천자후적Gleason평분、천자양성침수비례여술후병리절연양성솔지간적관계.결과 130례천자표본,Gleason평분6분조50례,절연양성솔위10.00％ (5/50);Gleason평분7분조65례,절연양성솔위21.54％(14/65);Gleason평분8분조13례,절연양성솔위0;Gleason평분9분조2례,절연양성솔위0,불동천자표본Gleason평분각조지간절연양성솔비교차이무통계학의의(x2=5.917 5,P＞ 0.05).천자양성침수비례통계공89례,양성침수비례1％～ 25％조30례,절연양성솔위3.33％(1/30);양성침수비례26％～50％조27례,절연양성솔위11.11％(3/27);양성침수비례51％ ～ 75％조18례,절연양성솔위6/18;양성침수비례76％～100％조14례,절연양성솔위4/14,불동천자양성침수비례각조지간절연양성솔비교차이유통계학의의(x2=9.861 8,P＜ 0.05).결론 전렬선암천자표본Gleason평분여술후병리절연지간무상관성,이천자양성침수비례여술후병리절연지간유상관성.
Objective To investigate the correlation of positive margins after radical prostatectomy with Gleason score of biopsy specimens and percentage of positive biopsy cores in prostate cancer.Methods One hundred and thirty patients with localized prostate cancer were confirmed by biopsy underwent radical prostatectomy,the relationship between positive margins rate and Gleason scores,percentage of positive biopsy cores were analyzed.Results One hundred and thirty cases of biopsy specimens,Gleason score 6 group 50 cases,positive margins rate was 10.00％ (5/50),Gleason score 7 group 65 cases,positive margins rate was 21.54％(14/65),Gleason score 8 group 13 cases,positive margins rate was 0,Gleason score 9 group 2 cases,positive margins rate was 0,the positive margins rate among the different Gleason score group had no significant difference (x2 =5.917 5,P ＞ 0.05).All the statistics of percentage of positive biopsy cores were 89 cases,1％-25％ group 30 cases,positive margins rate was 3.33％ (1/30),26％-50％ group 27 cases,positive margins rate was 11.11％ (3/27),51％-75％ group 18 cases,positive margins rate was 6/18,76％-100％ group 14 cases,positive margins rate was 4/14,the positive margins rate among different percentage of positive biopsy cores group had significant difference (x2 =9.861 8,P ＜ 0.05).Conclusion There is no correlation between Gleason score and positive margins in prostate cancer,but there is correlation between percentage of positive biopsy cores and positive margins.
