Cooner W H, Mosley B R, Rutherford C L, Beard J H, Pond H S, Bass R B, Terry W J
Mobile Urology Group, Springhill Memorial Hospital, Mobile, Alabama.
J Urol. 1988 Apr;139(4):758-61. doi: 10.1016/s0022-5347(17)42624-3.
We reviewed 225 men who were followed for 2 to 21 years by periodic rectal examination in an effort to detect prostatic cancer without the glands having been sufficiently suspicious for biopsy to have been recommended. These patients underwent further evaluation with transrectal prostatic ultrasonography and serum prostate specific antigen determinations. When appropriate, ultrasonically guided transrectal needle biopsy of the prostate was performed without analgesia, anesthesia or prophylactic antibiotics. This is a simple, safe and effective means to obtain tissue for diagnosis. Recommendations for the current applicability of these diagnostic modalities by the practicing urologist are given.
我们回顾了225名男性患者，他们通过定期直肠检查随访了2至21年，目的是在前列腺尚无足够可疑迹象推荐活检的情况下检测前列腺癌。这些患者接受了经直肠前列腺超声检查和血清前列腺特异性抗原测定的进一步评估。在适当的时候，在没有镇痛、麻醉或预防性抗生素的情况下进行超声引导下经直肠前列腺穿刺活检。这是一种获取组织进行诊断的简单、安全且有效的方法。文中给出了执业泌尿科医生对这些诊断方式当前适用性的建议。
