摘要
目的对比评价超声造影辅助经直肠前列腺穿刺与常规经直肠前列腺穿刺在前列腺癌诊断中的临床价值。方法选取2016年3月至2017年12月本院门诊及病房的可疑前列腺癌患者158例。采用简单随机抽样方法分为两组:造影穿刺组71例,常规穿刺组87例。比较两组间的总体阳性率、单针阳性率及人均平均穿刺针数。结果造影穿刺组总体阳性率为39.4%(28/71),常规穿刺组总体阳性率为27.6%(24/87),组间比较差异有统计学意义(P<0.05)。造影穿刺组单针阳性率为22.3%(127/569),常规穿刺组单针阳性率为12.3%(139/1131),组间比较差异有统计学意义(P<0.05)。造影穿刺组人均穿刺针数8.01针(569/71),常规穿刺组人均穿刺针数13针(1131/87),组间比较差异有统计学意义(P<0.05)。结论在前列腺癌诊断中,超声造影辅助经直肠前列腺穿刺较常规经直肠前列腺穿刺可以提高临床前列腺癌的诊断率,减少穿刺针数,有一定的临床价值。
引文
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