Hinman F
Department of Urology, University of California School of Medicine, San Francisco 94l43-0738.
J Urol. 1991 Jan;145(1):126-9; discussion 129-30. doi: 10.1016/s0022-5347(17)38267-8.
Routine testing for prostatic carcinoma by digital rectal examination, transrectal ultrasonography and prostate specific antigen determination has been proposed to reduce deaths by earlier diagnosis. The questionable reliability of results, cost of screening, and inability to establish a balance between the benefits of treatment and the adverse effects on the quality of life of the men screened make screening experimental until controlled studies prove its value.
通过直肠指检、经直肠超声检查和前列腺特异性抗原测定对前列腺癌进行常规检测,旨在通过早期诊断降低死亡率。然而,检测结果可靠性存疑、筛查成本高,且无法在治疗益处与对受筛查男性生活质量的不良影响之间达成平衡,这使得筛查仍处于试验阶段,直至对照研究证明其价值。