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[前列腺钙化:经直肠超声检查研究]

[Calcifications of the prostate: a transrectal echographic study].

作者信息

Bock E, Calugi V, Stolfi V, Rossi P, D'Ascenzo R, Solivetti F M

机构信息

Istituto di Radiologia, Università Cattolica S. Cuore, Roma.

出版信息

Radiol Med. 1989 May;77(5):501-3.

PMID:2473496
Abstract

Prostatic lithiasis is a well know phenomenon. It has little clinical significance and is not easily shown by conventional radiography, which has poor sensitivity and specificity. The authors have studied 612 patients with both suprapubic and transrectal US in order to 1) assess US sensitivity and specificity and 2) report the frequency, spatial distribution, number and features of prostatic calcifications with special emphasis on differential diagnosis between prostatic neoplasms and chronic prostatitis. The authors have also studied the relationship between morphology and symptoms and the results agree with those reported in the scanty literature. The authors conclude that the parameters studied are directly related to age, except for a younger group with clear evidence of genital inflammation. The authors emphasize the impossibility to correlate morphology of prostatic calcifications with pathologic conditions: there are no specific symptoms clearly connected with calcification even though the inflammation is often associated with calcifications.

摘要

前列腺结石是一种广为人知的现象。它临床意义不大,传统放射成像难以显示,其敏感性和特异性较差。作者对612例患者进行了耻骨上和经直肠超声检查,目的是:1)评估超声的敏感性和特异性;2)报告前列腺钙化的频率、空间分布、数量和特征,特别强调前列腺肿瘤与慢性前列腺炎的鉴别诊断。作者还研究了形态与症状之间的关系,结果与少量文献报道一致。作者得出结论,所研究的参数与年龄直接相关,但有明显生殖器炎症证据的较年轻群体除外。作者强调,无法将前列腺钙化的形态与病理状况相关联:即使炎症常与钙化相关,但没有与钙化明显相关的特定症状。

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