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目的:报告65例经病理确诊的前列腺癌(PC),讨论其早期诊断的方法及其临床价值。方法:经直肠指诊(DRE),经直肠赵声(TRUS),经腹会阴超声(TPAUS),前列腺特异性抗原(PSA).酸性磷酸酶(PAP)诊断前列腺癌。结果:以上几种诊断阳性率分别为85%、75%、62%、\80%和35%。手指引导经会阴、直肠及TRUS引导下三种穿刺活检的灵敏度分别为82%、84%和92%。结论:DRE,TRUS,PSA及经直肠穿刺活检是目前筛选及早期诊断PC的重要方法。
OBJECTIVE: To report 65 cases of prostate cancer (PC) diagnosed by pathology, discuss its early diagnosis and its clinical value. Methods: Transrectal DRE, TRUS, TPAUS, prostate specific antigen (PSA). Acid phosphatase (PAP) diagnoses prostate cancer. RESULTS: The positive rates of these types of diagnosis were 85%, 75%, 62%, 80%, and 35%, respectively. The sensitivity of finger-guided transperineal, rectal, and TRUS-guided biopsy of the three types was 82%, 84%, and 92%, respectively. Conclusion: DRE, TRUS, PSA and transrectal biopsy are important methods for screening and early diagnosis of PC.