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为提高前列腺癌的诊断阳性率。方法:作者收集了1997年6月~1998年2月本院泌尿外科8例前列腺癌患者,根据临床表现、B超、CT、活检、骨骼ECT、术中冰冻切片及瘤体标本检查分析诊断价值。结果:8例患者中排尿不畅7例,尿潴留3例,血尿4例,全身或局部骨骼酸痛3例;直肠指检单纯性结节1例,质地坚硬3例,表面高低不平感3例,表面光滑1例;B超检查阳性1例;CT检查阳性3例;4例患者前列腺穿刺活检均阳性;1例患者术中冰冻切片阳性;骨骼 ECT检查 6例阳性;PSA检测 8例均升高,PAP 6例升高。结论:根据临床症状、影像学检查,尤其是前列腺穿刺活检及瘤体标本PSA测定,是诊断前列腺癌的重要依据。
To improve the diagnostic positive rate of prostate cancer. Methods: The authors collected 8 cases of prostate cancer from June 1997 to February 1998 in our department of urology. According to the clinical manifestations, the diagnostic value of ultrasonography, CT, biopsy, bone ECT, intraoperative frozen sections and tumor specimens . Results: Among the 8 patients, 7 cases had poor urination, 3 cases had urinary retention, 4 cases had hematuria, 3 cases had systemic or local skeletal soreness, 1 case had simple nodular rectal examination, 3 cases had hard texture, 3 cases had uneven surface , 1 case with smooth surface, 1 case with B ultrasound examination, 3 cases with CT examination positive, 4 cases with positive prostate biopsy, 1 case with intraoperative frozen section positive, 6 cases with bone ECT examination and 8 cases with PSA test High, PAP 6 cases increased. Conclusion: According to clinical symptoms, imaging examination, especially prostate biopsy and tumor specimens PSA determination, is an important basis for the diagnosis of prostate cancer.