中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
20期
183-184
,共2页
超声弹性成像%前列腺疾病%鉴别诊断
超聲彈性成像%前列腺疾病%鑒彆診斷
초성탄성성상%전렬선질병%감별진단
Ultrasound elasticity imaging%Prostate disease%Differential diagnosis
目的：探讨超声弹性成像技术在前列腺疾病中的诊断价值。方法整群选取2014年2月-2015年2月于该院就诊的前列腺疾病患者116例作为研究对象。其中良性前列腺疾病64例，恶性前列腺疾病52例，所有患者均经前列腺穿刺病理实验证实，对其进行超声弹性成像检查，比较良恶性弹性影像结果进行诊断并与病理证实结果，总结良恶性前列腺病变的弹性影像差异性。结果超声检查确诊良性前列腺病变58例，确诊率为90.63%，恶性前列腺病变45例，确诊率为86.54%，总确诊率为88.79%，与病理证实结果比较差异有统计学意义(P>0.05)；弹性超声影像结果分析可知，良性病变主要以Ⅰ、Ⅱ级弹性分级为主，恶性病变则以Ⅲ~Ⅴ级弹性分级为主，二者弹性分级结果比较差异有统计学意义(P<0.05)。结论超声弹性成像在前列腺疾病良恶性鉴别诊断中具有较高的鉴别诊断能力，可依据良恶性病变的弹性程度差异性进行分级比较，并有助于对前列腺病变病情的评估及治疗指导。
目的：探討超聲彈性成像技術在前列腺疾病中的診斷價值。方法整群選取2014年2月-2015年2月于該院就診的前列腺疾病患者116例作為研究對象。其中良性前列腺疾病64例，噁性前列腺疾病52例，所有患者均經前列腺穿刺病理實驗證實，對其進行超聲彈性成像檢查，比較良噁性彈性影像結果進行診斷併與病理證實結果，總結良噁性前列腺病變的彈性影像差異性。結果超聲檢查確診良性前列腺病變58例，確診率為90.63%，噁性前列腺病變45例，確診率為86.54%，總確診率為88.79%，與病理證實結果比較差異有統計學意義(P>0.05)；彈性超聲影像結果分析可知，良性病變主要以Ⅰ、Ⅱ級彈性分級為主，噁性病變則以Ⅲ~Ⅴ級彈性分級為主，二者彈性分級結果比較差異有統計學意義(P<0.05)。結論超聲彈性成像在前列腺疾病良噁性鑒彆診斷中具有較高的鑒彆診斷能力，可依據良噁性病變的彈性程度差異性進行分級比較，併有助于對前列腺病變病情的評估及治療指導。
목적：탐토초성탄성성상기술재전렬선질병중적진단개치。방법정군선취2014년2월-2015년2월우해원취진적전렬선질병환자116례작위연구대상。기중량성전렬선질병64례，악성전렬선질병52례，소유환자균경전렬선천자병리실험증실，대기진행초성탄성성상검사，비교량악성탄성영상결과진행진단병여병리증실결과，총결량악성전렬선병변적탄성영상차이성。결과초성검사학진량성전렬선병변58례，학진솔위90.63%，악성전렬선병변45례，학진솔위86.54%，총학진솔위88.79%，여병리증실결과비교차이유통계학의의(P>0.05)；탄성초성영상결과분석가지，량성병변주요이Ⅰ、Ⅱ급탄성분급위주，악성병변칙이Ⅲ~Ⅴ급탄성분급위주，이자탄성분급결과비교차이유통계학의의(P<0.05)。결론초성탄성성상재전렬선질병량악성감별진단중구유교고적감별진단능력，가의거량악성병변적탄성정도차이성진행분급비교，병유조우대전렬선병변병정적평고급치료지도。
Objective To explore the value of ultrasonic elastography in the diagnosis of prostate diseases. Methods Selected 116 patients of prostate disease in our hospital from February 2014 to February 2015 as the study object. Among them 64 cases were benign and 52 cases were malignant. Gave all the patients prostate biopsy for pathological evidence. By ultrasonic elastography of the malignant and benign, comparison of flexible image results for diagnosis and pathology results and summarize the differences, the elasticity imaging. Results The ultrasound diagnosed benign changes in 58 cases, the diagnosis rate was 90.63%, 45 malignant cases, diagnosis rate 86.54%, the total positive rate was 88.79%, with no significant difference in results confirmed with pathology (P>0.05); elastic ultrasonic imaging results benign to I, II level classification based, malignant in III- V classification based com-parison of classification results, there is significant difference,P<0.05, with statistical significance. Conclusion The ultrasonic elas-tography has a high ability in the differential diagnosis of malignant and benign prostatic diseases. It can be classified according to the degree of flexibility of benign and malignant prostatic diseases. It could contribute to the assessment and treatment of prostate disease.
