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目的 分析我院前列腺癌诊断现状，以提高前列腺癌的早期诊断水平。方法 １９８８ ～１９９８ 年收治１３０ 例前列腺癌病人，分别通过直肠指检（ Ｄ Ｒ Ｅ） 、前列腺抗原（ Ｐ Ｓ Ａ） 、前列腺穿刺活检、 Ｂ超、 Ｃ Ｔ、 Ｅ Ｃ Ｔ、 Ｍ Ｒ、膀胱镜检查等明确诊断。结果 直肠指检示前列腺增大，质地坚硬或触及结节１１２例（８６ ．２ ％ ） 。 Ｐ Ｓ Ａ＜ ４ｎｇ／ｍｌ ６ 例（４ ．６ ％ ） ， Ｐ Ｓ Ａ ４ ～１０ｎｇ／ ｍｌ １６ 例（１２ ．３ ％ ） ， Ｐ Ｓ Ａ＞ １０ｎｇ／ｍｌ １０８ 例（８３ ．１ ％ ） 。 Ｐ Ｓ Ａ＜ ２０ｎｇ／ｍｌ 发生骨转移４ 例， Ｐ Ｓ Ａ＞ ４０ｎｇ／ ｍｌ 发生骨转移４６ 例。前列腺穿刺活检阳性１０１／１０８ 例（９３ ．５ ％ ） 。经腹部 Ｂ 超诊断符合率５５ ．１ ％ ，经直肠 Ｂ 超诊断符合率９４ ．７ ％ ， Ｃ Ｔ、 Ｍ Ｒ 诊断符合率４２ ．９ ％ ， Ｅ Ｃ Ｔ 诊断符合率８１ ．３ ％ 。病理分期为 Ｃ 和 Ｄ 期９５ 例（７５ ．３） ％ ，３５ 例为 Ａ 和 Ｂ 期（２４ ．７ ％ ） 。结论 前列腺癌的早期诊断仍是一个急待解决的问题；开展有关前列腺癌宣教工作、定期专科体检和增强特定人群的就诊意识，将提高前列腺癌的早期诊断率。
Objective To analyze the diagnosis of prostate cancer in our hospital so as to improve the early diagnosis of prostate cancer. Methods A total of 130 patients with prostate cancer were enrolled from 1988 to 1998. The patients were divided into three groups according to the digital rectal examination (D R E), prostatic antigen (P S A), prostatic biopsy, B ultrasound, C T, E C T, M R, cystoscopy Check and other clear diagnosis. Results The digital rectum showed that the prostate was enlarged, the texture was hard or the nodules touched 112 cases (86.2%). 6 cases (4.6%) of P S A <4ng / ml, 16 cases (12.3%) of P S A 4-10ng / ml and 108 cases (83.1%) of P S A> 10ng / ml. 4 cases of bone metastasis with P S A <20ng / ml and 46 cases of bone metastasis with P S A> 40ng / ml. Prostate biopsy positive 101/108 cases (93.5%). Abdominal B-ultrasound diagnosis rate 55. 1%, the diagnosis of rectal B ultrasound consistent rate of 94. 7%, C T, M R diagnosis coincidence rate 42. 9%, E C T diagnostic coincidence rate of 81. 3%. The pathological staging was 95 cases (75.3%) in stage C and D, and 35 cases were stage A and B (24.7%). Conclusions Early diagnosis of prostate cancer is still an urgent problem to be solved. Carrying out publicity and education on prostate cancer, regular specialist examination and enhancing the treatment awareness of certain groups of people will improve the early diagnosis rate of prostate cancer.