Castiñeiras J, Carnicer I, Castro C, Varo C, Juárez A, Alvarez-Ossorio J L, Sánchez-Bernal C, Sánchez-Ferragut C, García-Cabanillas M J, Rodríguez-Rubio F
Servicio de Urología, Hospital Universitario de Puerto Real, Universidad de Cádiz.
Actas Urol Esp. 1996 May;20(5):443-7.
Thirteen patients, mean age 61 years (range 54 to 71), diagnosed with prostate adenocarcinoma underwent radical prostatectomy. To achieve a diagnosis they were all performed blood PSA determination, digital rectal examination, transrectal ultrasound and a prostate ultrasound-guided biopsy by automatic gun puncture. Serum PSA quantification, digital rectal examination and transrectal ultrasound were repeated in the immediate post-operative, and three and six months after surgery. Through the information obtained with endocavitary ultrasound, the lumen of the cervicourethral anastomosis and the perianastomotic tissue was assessed. Transrectal ultrasound plays a relevant role in the follow-up of patients undergoing radical prostatectomy. When a patient with prostate radical surgery shows an elevation of serum PSA and/or abnormal digital rectal examination, an ultrasound-guided biopsy (at the node or perianastomotic area) is indicated.
13例平均年龄61岁（范围54至71岁）的前列腺腺癌患者接受了根治性前列腺切除术。为明确诊断，他们均进行了血液PSA测定、直肠指检、经直肠超声检查以及经前列腺超声引导下自动枪式穿刺活检。术后即刻、术后3个月和6个月重复进行血清PSA定量、直肠指检和经直肠超声检查。通过腔内超声获取的信息，评估了颈尿道吻合口管腔及吻合口周围组织。经直肠超声在根治性前列腺切除术患者的随访中发挥着重要作用。当前列腺根治性手术患者出现血清PSA升高和/或直肠指检异常时，建议进行超声引导下活检（在淋巴结或吻合口周围区域）。
