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目的:评价经直肠彩超引导下前列腺穿刺活检在前列腺癌及前列腺其他疾病的诊断和鉴别诊断的价值。方法:对血清PSA>4 ng/mL,肛门指检阳性及经直肠彩超检查前列腺有异常回声的192例患者进行经直肠彩超引导的前列腺穿刺活检。结果:经病理证实前列腺癌65例占33.9%,前列腺增生症101例占52.6%,前列腺内皮瘤形成10例占5.2%,炎症16例占8.3%。结论:经直肠彩超引导下前列腺穿刺活检的准备简单,病人痛苦小,准确性好,并发症少。运用该技术穿刺前列腺有助于前列腺疾病的鉴别诊断和提高前列腺癌的早期诊断率,值得临床推广应用。
Objective: To evaluate the value of transrectal ultrasound-guided prostatic biopsy in the diagnosis and differential diagnosis of other diseases of prostate and prostate. Methods: Transrectal ultrasound-guided prostatic biopsy was performed in 192 patients with serum PSA> 4 ng / mL, positive anus examination, and abnormal echogenicity of the prostate by transrectal ultrasound. Results: 65 cases of prostate cancer confirmed by pathology accounted for 33.9%, 101 cases of benign prostatic hyperplasia accounted for 52.6%, 10 cases of prostate endothelioma accounted for 5.2%, 16 cases of inflammation accounted for 8.3%. Conclusion: The transrectal ultrasound guided prostate biopsy preparation is simple, the patient is less painful, accurate and less complications. Prostate puncture using this technique contributes to the differential diagnosis of prostate disease and improve the early diagnosis of prostate cancer, worthy of clinical application.