实用临床医药杂志2013，Vol.17Issue(13)：156-158,3.DOI:10.7619/jcmp.201313057
经直肠超声联合前列腺特异性抗原密度检测对前列腺癌与前列腺增生的鉴别诊断价值
Differential diagnostic value of transrectal ultrasound combined with PSAD on prostate cancer and benign prostate hyperplsia
罗青 1江锦雄 1曹小祯 1肖清华1
作者信息
- 1. 广东省广州市第十二人民医院,广东广州,510620
- 折叠
摘要
Abstract
Objective To study and observe the differential diagnostic value of transrectal ultrasound combined with PSAD on early prostate cancer and benign prostate hyperplsia.Methods The clinical data of 42 patients with prostatic disorders treated in our hospital from May 2009 to June 2012 were analyzed retrospectively.All the patients received differential diagnosis of transrectal ultrasound combined with PSAD after admission.Through the examination and confirmation of prostate needle biopsy or postoperative pathology,19 patients with prostate cancer were set as PCa group and 23 patients with moderate to severe benign prostate hyperplsia were set as BPH group.The characteristics of transrectal ultrasound and test results of PSAD in 2 groups were compared.Results Prostate volume of PCa group was significantly larger than that of BPH group (P ＜ 0.05),and the incidence rate of abnormal blood flow signal in PCa group was significantly higher than that of BPH group (P＜0.05).But there was no significant difference in the incidence rate of abnormal echo tubercle between two groups(P ＞0.05).And PSAD value in PCa group was significantly higher than that of BPH group (P ＜ 0.05).Section distribution rate with more than 0.2 ng/mL in PCa group was significantly higher than that of BPH group (P ＜ 0.05),and section distribution rate with less than 0.1 ng/mL was significantly lower than that of BPH group.And there was no significant difference in section distribution rate from 0.1 ng/mL to 0.2 ng/mL between two groups(P ＞0.05).Conclusion Abnormal blood flow sign is the characteristic of transrectal ultrasound for prostate cancer and PSAD is a sensitive predictor of prostate cancer.The combination application of them has high differential diagnosis value on prostate cancer and benign prostate hyperplsia.关键词
前列腺癌/前列腺增生/超声检查/前列腺特异性抗原密度/鉴别诊断Key words
prostate cancer/ benign prostate hyperplasia/ ultrasound/ prostate specific antigen density/ differential diagnosis分类
医药卫生引用本文复制引用
罗青,江锦雄,曹小祯,肖清华..经直肠超声联合前列腺特异性抗原密度检测对前列腺癌与前列腺增生的鉴别诊断价值[J].实用临床医药杂志,2013,17(13):156-158,3.
