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目的:探讨经直肠超声引导5区13点前列腺穿刺活检在诊断前列腺癌方面的应用价值。方法:选取2015年1月至2017年1月我院收治的64例前列腺疾病患者为此次研究的对象,随机将患者分为两组,一组为对照组,一组为研究组,对照组患者行经直肠超声引导10点前列腺穿刺活检,研究组患者采用经直肠超声引导13点前列腺穿刺活检,分析比较两组患者的前列腺癌检出率、血清前列腺特异抗原(PSA)水平和前列腺体积之间的关系。结果:研究结果表明,两组患者的前列腺癌检出率对比不存在明显差异(P>0.05),且两组患者的血清PSA水平越高,前列腺癌检出率越高,前列腺体积越大,前列腺癌检出率越低,组间对比有明显差异,存在统计学意义(P<0.05)。结论:临床上采用经直肠超声引导5区13点前列腺穿刺活检法,并不会提高前列腺癌的检出率,另外,如果前列腺体积较小,可以采用10点前列腺穿刺活检方法,进行前列腺癌的临床诊断检查。
Objective: To investigate the value of transrectal ultrasound-guided 13-point prostate biopsy in the diagnosis of prostate cancer. Methods: Sixty-four patients with prostate disease who were admitted to our hospital from January 2015 to January 2017 were selected as the subjects. The patients were randomly divided into two groups, one as control group, one as study group and control group The patients underwent transrectal ultrasound guided 10-point prostate biopsy. The study group was guided by transrectal ultrasound guided 13-point prostate biopsy. The detection rate of prostate cancer, the level of serum prostate-specific antigen (PSA) and the volume of prostate were compared between the two groups Relationship. Results: The results showed that there was no significant difference between the two groups in the detection rate of prostate cancer (P> 0.05), and the higher the serum PSA level of both groups, the higher the detection rate of prostate cancer, the greater the prostate volume, The lower the detection rate of prostate cancer, there was significant difference between the groups, with statistical significance (P <0.05). Conclusion: The clinical use of transrectal ultrasound guided 13-point prostate biopsy area 13 does not improve the detection rate of prostate cancer. In addition, if the prostate volume is small, we can use 10-point prostate biopsy method for prostate cancer Clinical diagnostic tests.