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[经直肠超声检查及超声引导下活检在前列腺肿瘤早期诊断中的有效性。我们对100例患者的经验]

[Validity of transrectal ultrasonography and echo-guided biopsy in the early diagnosis of prostatic neoplasms. Our experience on 100 cases].

作者信息

Mantelli M, Iacono R, Quattropanetti S, Quattropanetti R, Begani Provinciali R

机构信息

Divisione di Urologia, Ospedale Nuovo Regina Margherita, Roma.

出版信息

Arch Ital Urol Androl. 1993 Aug;65(4):413-5.

PMID:7689015
Abstract

100 patients from age 50 to 80 that presented urinary obstructive symptoms were studied with digital examination and with TR ultrasound; only 10 were palpably suspicious for prostatic carcinoma, the rest had a BPH. These 10 patients and 32 of the remaining revealed an abnormal area with ultrasound. 6 of the 10 palpably suspicious patients had prostatic carcinoma (60%). 8 of the 32 remaining patients had prostatic carcinoma (25%). Therefore of the 14 prostatic carcinoma 6 were of palpably positive patients, and 8 were of palpably negative patients. We suggest with this work that transrectal ultrasound is a useful technique in the early diagnosis and in the follow-up of prostatic nodules, and it is a necessary support in the decision for effecting echo-guided biopsy.

摘要

对100名年龄在50至80岁之间出现尿路梗阻症状的患者进行了直肠指检和经直肠超声检查;只有10名患者在触诊时可疑患有前列腺癌,其余患者患有良性前列腺增生。这10名患者和其余患者中的32名经超声检查发现有异常区域。10名触诊可疑患者中有6名患有前列腺癌(60%)。其余32名患者中有8名患有前列腺癌(25%)。因此,在这14例前列腺癌患者中,6例为触诊阳性患者,8例为触诊阴性患者。我们通过这项研究表明,经直肠超声在前列腺结节的早期诊断和随访中是一种有用的技术,并且在决定进行超声引导活检时是必要的辅助手段。

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