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目的 :评价经直肠超声引导 6点前列腺系统穿刺活检术诊断前列腺癌的临床价值。方法 :对 112例直肠指诊阳性和 (或 )PSA >4ng/ml的患者采用Hodge提出的经直肠超声引导 6点前列腺系统穿刺活检术。即在前列腺两侧旁正中线的矢状面 ,分别于前列腺的基底部、中间及尖部各间隔穿刺 3点 ,总共穿刺活检 6点。结果 :其中 42例确诊为前列腺癌 ,占 38%。所有接受经直肠超声引导 6点前列腺系统穿刺活检术的患者无一例出现严重的并发症。结论 :与传统的前列腺穿刺活检术相比 ,经直肠超声引导 6点前列腺系统穿刺活检术可明显提高前列腺癌的临床检出率 ,是一种安全、有效的前列腺系统穿刺活检术式 ,值得在临床推广应用。
Objective: To evaluate the clinical value of transrectal ultrasound-guided 6-point prostate biopsy in the diagnosis of prostate cancer. Methods: Hodge ’s transrectal ultrasound - guided 6 point prostate biopsy was used in 112 patients with positive and / or PSA rectal examination and 4ng / ml PSA. Namely in both sides of the median prostate on both sides of the sagittal plane, respectively, at the basal part of the prostate, the middle and the tip of the puncture at 3 intervals, a total of 6 biopsy needle. Results: 42 of them were diagnosed as prostate cancer, accounting for 38%. None of the patients who underwent transrectal ultrasound-guided 6-point prostate biopsy had any serious complication. Conclusion: Compared with the traditional prostate biopsy, transrectal ultrasound-guided 6-point prostate biopsy can significantly improve the clinical detection rate of prostate cancer. It is a safe and effective method for prostate biopsy, which is worth Clinical application.