医学综述
醫學綜述
의학종술
Medical Recapitulate
2015年
18期
3373-3375
,共3页
吴萍%杨秀华(综述)%夏国兵(审校)
吳萍%楊秀華(綜述)%夏國兵(審校)
오평%양수화(종술)%하국병(심교)
前列腺肿瘤%经直肠超声检查%穿刺
前列腺腫瘤%經直腸超聲檢查%穿刺
전렬선종류%경직장초성검사%천자
Prostatic neoplasms%Transrectal ultrasound%Puncture
经直肠超声检查引导下6点前列腺穿刺活检已成为诊断前列腺癌的标准程序,扩大化的前列腺系统穿刺方案在此基础上于前列腺外周带及移行区多点取样,提高了前列腺癌的诊断率,并发症也未明显上升。3D超声、超声造影、弹性成像及 TRUS-磁共振成像融合等影像新技术的发展,提高了前列腺癌灶的检出率,增加了病灶定位的精确性。依据患者的临床特征,运用多种超声影像新技术制订个体化的穿刺方案是未来前列腺穿刺的发展方向。
經直腸超聲檢查引導下6點前列腺穿刺活檢已成為診斷前列腺癌的標準程序,擴大化的前列腺繫統穿刺方案在此基礎上于前列腺外週帶及移行區多點取樣,提高瞭前列腺癌的診斷率,併髮癥也未明顯上升。3D超聲、超聲造影、彈性成像及 TRUS-磁共振成像融閤等影像新技術的髮展,提高瞭前列腺癌竈的檢齣率,增加瞭病竈定位的精確性。依據患者的臨床特徵,運用多種超聲影像新技術製訂箇體化的穿刺方案是未來前列腺穿刺的髮展方嚮。
경직장초성검사인도하6점전렬선천자활검이성위진단전렬선암적표준정서,확대화적전렬선계통천자방안재차기출상우전렬선외주대급이행구다점취양,제고료전렬선암적진단솔,병발증야미명현상승。3D초성、초성조영、탄성성상급 TRUS-자공진성상융합등영상신기술적발전,제고료전렬선암조적검출솔,증가료병조정위적정학성。의거환자적림상특정,운용다충초성영상신기술제정개체화적천자방안시미래전렬선천자적발전방향。
6-core transrectal ultrasound(TRUS)guided biopsy has become a standard procedure in the diagnosis of prostate cancer, and expanded prostate biopsies are based on 6-core biopsy, emphasizing the peripheral zone and the transitional zone sampling in prostate,which improve the diagnosis rate of prostate cancer without increasing the complications obviously.Development of new imaging technologies such as 3D ultrasound,contrast-enhanced ultrasound(CEUS),elastography,TRUS-MRI fusion imaging have improved the detection rate and accuracy of lesion localization of prostate cancer.Based on the clinical characteristics of the patients,using a variety of ultrasound imaging new technologies in making individualized program is the future direction of prostate biopsy.