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目的分析经直肠超声在前列腺结节良恶性鉴别诊断中的价值。方法随机选取2014年2月-2016年3月该院接受治疗的前列腺结节患者90例作为研究对象,依据患者的病理检查结果进行分组,将53例良性结节患者作为A组,将37例恶性结节患者作为B组。2组患者均接受经直肠超声检测,统计2组超声诊断准确率,并比较2组血清前列腺特异性抗原(PSA)水平。结果 A组诊断准确率为96.2%(51/53),B组诊断准确率为86.5%(32/37),总诊断准确率为92.2%(83/90)。2组结节部位、回声类型、钙化情况、包膜完整性及外腺对称性等区别较明显。A组血清PSA水平低于B组,差异均有统计学意义(P<0.05)。结论经直肠超声诊断前列腺结节的效果较为理想,良性前列腺结节与恶性的超声表现具有较大差异,其联合PSA检验结果进行诊断更利于提高该病症的诊断准确率,有效降低不必要的手术切除,减轻患者诊疗痛苦,值得大力推广。
Objective To analyze the value of transrectal ultrasound in the differential diagnosis of benign and malignant prostatic nodules. Methods Totally 90 patients with benign prostatic nodules treated in our hospital from February 2014 to March 2016 were selected as the research objects. According to the results of pathological examination, 53 patients were divided into group A, 37 patients Malignant nodules as a group B. Two groups of patients underwent transrectal ultrasound examination, and the diagnostic accuracy of the two groups was statistically compared. The level of serum PSA was compared between the two groups. Results The accuracy of diagnosis was 96.2% (51/53) in group A, 86.5% (32/37) in group B, and 92.2% (83/90) in total. There were obvious differences between the two groups in nodular site, echo type, calcification, capsule integrity and gonadal symmetry. The level of serum PSA in group A was lower than that in group B, the difference was statistically significant (P <0.05). Conclusion The diagnosis of benign prostatic nodules by rectal ultrasonography is quite satisfactory. The benign prostatic nodules and malignant ultrasonographic manifestations are quite different. The combined diagnosis of PSA test results is more conducive to improve the diagnostic accuracy of the disease and reduce unnecessary surgery Excision, reduce patient pain, it is worth promoting.