摘要
目的评价超声引导下经直肠前列腺穿刺活检阳性率,并探讨穿刺患者的临床特征。方法回顾性分析2008～2012年郑州大学第一附属医院331例前列腺穿刺患者的病例资料,分析患者年龄、穿刺阳性率及就诊原因,并研究年龄,PSA对穿刺阳性率的影响。结果经直肠前列腺穿刺患者平均年龄为(70.53±9.70)岁,穿刺阳性率为37.76%(125/331)。40.79%(135/331)的患者因下尿路症状而就诊,因体检筛查发现前列腺结节或PSA异常就诊为18.42%(61/331)。随着PSA的升高,穿刺阳性率明显增高,不同PSA水平穿刺阳性率差异有统计学意义,PSA与穿刺阳性率呈正相关(P<0.01)。各年龄层次穿刺阳性率差异有统计学意义(P<0.05)。结论本中心体检筛查出的患者在前列腺穿刺患者中所占比例较小,年龄和PSA对穿刺阳性率影响较大。
Objective To evaluate the positive rate of the ultrasound-guided transrectal prostate biopsy, and investigate clinical features of patients of prostate biopsy. Methods Retrospective study was used to analyse 331 cases of prostate biopsy from the First Affiliated Hospital of Zhengzhou University in 2008-2012.Patient＇s age,positive rate of prostate biopsy and reasons of visiting-doctor were analyzed and impact of age and PSA on positive rate of prostate biopsy was studied. Results The average age of patients with transrectal prostate biopsy was （70.53 ± 9.70） years old, and positive rate of prostate biopsy was 37.76%（125/331）. 40.79%（135/331） of patients had visited doctor because of lower urinary tract symptoms. 18.42%（61/331） of patients had visited doctor because prostate nodule or abnormal PSA were found in body examination.With the PSA increased positive rate was significantly higher. There was a significant difference on positive rate in different PSA levels. It was positively correlated between PSA and positive rate of prostate biopsy （P 〈 0.01）. There was a significant difference on positive rate in different ages（P 〈 0.05）. Conclusion Patients who received screening in body examination account for a small part of patients of prostate biopsy. Positive rate of prostate biopsy are affected greatly by age and PSA.
出处
《中国医药科学》
2013年第14期13-14,17,共3页
China Medicine And Pharmacy
