Vasileva Zh, Petrov P, Tsolov Ts
Khirurgiia (Sofiia). 1989;42(4):76-81.
Endorectal ultrasound examination, which has been developed mainly by Japanese and Danish scientists is being applied at I. Clinical Hospital "Dr. Kiril Khavezov" in Sofia since 1984. In this report the method is briefly described and results presented of 91 examinations performed in 76 patients with miscellaneous prostate diseases: 55 patients with adenoma, 17 with cancer, 3 with prostatitis and 1 with abscess. Characteristic of adenoma were the changes in the size and form of the gland; two types of changes in the form are described. Various structural changes, associated with asymmetry and impaired integrity of the prostate capsule were seen in cancer. In cases of prostatitis the gland was enlarged without structural changes. Only the the abscess was visualized as a liquid zone with irregular shape. The value of this method is that it furnishes information on the morphologic pattern of the whole gland, as well as on its correlations with the adjacent structures. Endorectal ultrasound examination of the prostate can not be a substitute for the cytologic and histologic methods when a neoplastic process is suspected.
直肠内超声检查主要由日本和丹麦科学家研发，自1984年起在索非亚的“基里尔·哈韦佐夫医生”第一临床医院应用。本报告简要描述了该方法，并展示了对76例患有各种前列腺疾病的患者进行的91次检查结果：55例腺瘤患者、17例癌症患者、3例前列腺炎患者和1例脓肿患者。腺瘤的特征是腺体大小和形态的改变；描述了两种形态改变类型。在癌症中可见与前列腺包膜不对称和完整性受损相关的各种结构变化。前列腺炎病例中，腺体肿大但无结构变化。只有脓肿表现为形状不规则的液性区域。该方法的价值在于它能提供有关整个腺体形态模式及其与相邻结构关系的信息。当怀疑有肿瘤性病变时，前列腺的直肠内超声检查不能替代细胞学和组织学方法。
