论文部分内容阅读
为评价维也纳表(Vienna nomo- gram),即基于患者年龄和前列腺总体积而确定合理穿刺针数的前列腺癌检测新方法的有效性,作者对PSA 2～10ng/ml的患者进行了前瞻性研究,共502例患者依据维也纳表所确定的穿刺针数进行前列腺穿刺活检,与既往采用传统方法的1051例患者进行比较,传统方法为标准的8针穿刺,若结果阴性则于6～8周后重复穿刺。结果发现采用维也纳表的前列腺癌总检出率为36.7%,而传统方法的首次检出率为22.0%,重复检出率为10.0%,即采用新方法后患者前列腺癌的检出率明显高于传统方法的首次检出率(P=0.002),而与传统方法首次检出率加重复检出率相当。多因素分析发现,只有PSA和穿刺针数是前列腺癌的
To evaluate the effectiveness of the Vienna nomenclature, a new method for detecting prostate cancer based on patient age and total prostate volume, a prospective study of patients with PSA 2 to 10 ng / ml was conducted . A total of 502 patients underwent prostate biopsy based on the number of puncturing needle determined in the Vienna Table, compared with the conventional method of 1051 patients, the traditional method of standard 8-needle puncture, if the result was negative in 6 to 8 weeks Repeat puncture. The results showed that the total detection rate of prostate cancer using Vienna table was 36.7%, while the first detection rate of the traditional method was 22.0% and the repeat detection rate was 10.0%, which means that the detection rate of prostate cancer was significantly higher The first detection rate in the traditional method (P = 0.002), while the first detection rate with the traditional method plus the same rate of repeated detection rate. Multivariate analysis found that only PSA and needle count were for prostate cancer