CAJ | 학술논문

目的：探讨超声引导下个体化经直肠前列腺穿刺活检术(TUGPB)在前列腺癌(PCa)诊断中的应用价值。方法对121例有前列腺穿刺指征的患者采用个体化穿刺方案，在经直肠超声引导下行前列腺穿刺活检术，根据病情采取6-13点个性化穿刺方案。结果本组121例患者前列腺活检共检出前列腺癌49例，阳性率为40.5%，其中T1-T2期3例、T3-T4期46例，Gleason评分2-4分2例，5-7分8例，8-10分39例。前列腺增生(benign prostatic hyperplasia，BPH)48例，前列腺增生伴慢性炎症5例，前列腺上皮内瘤变(prostatic intraepithelial neoplasm，PIN)19例。无前列腺脓肿、会阴部急性蜂窝织炎、大出血等严重并发症。结论经直肠超声引导前列腺穿刺活术在前列腺癌诊断中是一项安全、可靠、有效、易于掌握的方法。在临床工作中采用个体化的穿刺方案可减少患者痛苦，降低并发症的发生。
목적：탐토초성인도하개체화경직장전렬선천자활검술(TUGPB)재전렬선암(PCa)진단중적응용개치。방법대121례유전렬선천자지정적환자채용개체화천자방안，재경직장초성인도하행전렬선천자활검술，근거병정채취6-13점개성화천자방안。결과본조121례환자전렬선활검공검출전렬선암49례，양성솔위40.5%，기중T1-T2기3례、T3-T4기46례，Gleason평분2-4분2례，5-7분8례，8-10분39례。전렬선증생(benign prostatic hyperplasia，BPH)48례，전렬선증생반만성염증5례，전렬선상피내류변(prostatic intraepithelial neoplasm，PIN)19례。무전렬선농종、회음부급성봉와직염、대출혈등엄중병발증。결론경직장초성인도전렬선천자활술재전렬선암진단중시일항안전、가고、유효、역우장악적방법。재림상공작중채용개체화적천자방안가감소환자통고，강저병발증적발생。
Objective To investigate the value of individual transrectal ultrasound-guided prostate biopsy in the diagnosis of prostate carcinoma.Methods 121 cases of patients accepted individual transrectal ultrasound-guided prostate biopsy, puncture 6-13specimens according to patient's condition.Results 49 cases of 121 patients detected prostate carcinoma (with positive rate 40.5%), tumor stage range T1-T2 (3cases), T3-T4 (46cases), gleason scores range 2-4 (2cases), 5-7 (39cases), 8-10 (39cases), prostatic hyperplasia 48 cases, prostatic hyperplasia wth cronic postatitis 5cases, prostatic intraepithelial neoplasm 19 cases, with no serious complications such as prostatic abscess, perineal acute cellulitis and massive hemorrhage.Conclusions Individual transrectal ultrasound-guided prostate biopsy is a safe, reliable, effective and easy method in prostate carcinoma diagnosis, which can reduce the suffering of patients and the incidence of complications.