直肠超声引导下经会阴与经直肠前列腺穿刺活检的应用价值比较

发布时间：2018-05-10 21:35

  本文选题：前列腺癌早期诊断 + 超声　； 参考：《浙江大学》2017年硕士论文

【摘要】：目的:比较经直肠超声引导下经直肠与经会阴前列腺穿刺活检术的有效性及并发症。材料与方法:随机选取2013-2014年间于浙江大学附属第一医院行前列腺穿刺活检术患者270例,通过本院病历系统收集临床资料并进行回顾性分析。结果:经直肠前列腺穿刺组穿刺阳性率为42.22%(57/135),经会阴前列腺穿刺组穿刺阳性率为44.44%(60/135)。两组穿刺阳性率无统计学差异(P0.05)。不同PSA水平及年龄段亚组中经会阴前列腺穿刺组与经直肠前列腺穿刺组穿刺阳性率均无显著差异。两组检出前列腺癌Gleason评分无显著差异(P0.05)。经直肠前列腺穿刺组总穿刺并发症发生率(27.41%)显著高于经会阴前列腺穿刺组(8.89%,P0.01)。经直肠前列腺穿刺组(21.48%)显著高于经直肠前列腺穿刺组血尿发生率(6.67%,P0.01)。其余并发症无显著差异。结论:经会阴前列腺穿刺与经直肠前列腺穿刺在前列腺癌检出上无显著差异,但经会阴前列腺穿刺并发症显著少于经直肠前列腺穿刺。
[Abstract]:Objective: to compare the effectiveness and complications of transrectal and transperineal prostatic biopsy guided by transrectal ultrasound. Materials and methods: 270 patients who underwent prostate biopsy in the first affiliated Hospital of Zhejiang University from 2013 to 2014 were selected randomly. The clinical data were collected and analyzed retrospectively. Results: the positive rate of transrectal prostate puncture group was 42.22% 57 / 135 and that of perineum prostate puncture group was 44.4460 / 135%. There was no significant difference in the positive rate of puncture between the two groups (P 0.05). There was no significant difference in the positive rate between the transperineal and transrectal prostatic puncture groups in different PSA levels and age subgroups. There was no significant difference in Gleason score between the two groups (P 0.05). The incidence of total puncture complications in the transrectal prostate puncture group (27.41) was significantly higher than that in the perineal prostate puncture group (8.89%). The incidence of hematuria in the transrectal prostate puncture group was significantly higher than that in the transrectal prostate puncture group (P 0.01). There was no significant difference in other complications. Conclusion: there is no significant difference between transperineal and transrectal prostate puncture in the detection of prostate cancer, but the complications of transperineal prostate puncture are significantly less than that of transrectal prostate puncture.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.25
，

本文编号：1870997