發(fā)布時(shí)間：2018-05-10 21:35

  本文選題：前列腺癌早期診斷 + 超聲�。� 參考：《浙江大學(xué)》2017年碩士論文

【摘要】：目的:比較經(jīng)直腸超聲引導(dǎo)下經(jīng)直腸與經(jīng)會(huì)陰前列腺穿刺活檢術(shù)的有效性及并發(fā)癥。材料與方法:隨機(jī)選取2013-2014年間于浙江大學(xué)附屬第一醫(yī)院行前列腺穿刺活檢術(shù)患者270例,通過(guò)本院病歷系統(tǒng)收集臨床資料并進(jìn)行回顧性分析。結(jié)果:經(jīng)直腸前列腺穿刺組穿刺陽(yáng)性率為42.22%(57/135),經(jīng)會(huì)陰前列腺穿刺組穿刺陽(yáng)性率為44.44%(60/135)。兩組穿刺陽(yáng)性率無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。不同PSA水平及年齡段亞組中經(jīng)會(huì)陰前列腺穿刺組與經(jīng)直腸前列腺穿刺組穿刺陽(yáng)性率均無(wú)顯著差異。兩組檢出前列腺癌Gleason評(píng)分無(wú)顯著差異(P0.05)。經(jīng)直腸前列腺穿刺組總穿刺并發(fā)癥發(fā)生率(27.41%)顯著高于經(jīng)會(huì)陰前列腺穿刺組(8.89%,P0.01)。經(jīng)直腸前列腺穿刺組(21.48%)顯著高于經(jīng)直腸前列腺穿刺組血尿發(fā)生率(6.67%,P0.01)。其余并發(fā)癥無(wú)顯著差異。結(jié)論:經(jīng)會(huì)陰前列腺穿刺與經(jīng)直腸前列腺穿刺在前列腺癌檢出上無(wú)顯著差異,但經(jīng)會(huì)陰前列腺穿刺并發(fā)癥顯著少于經(jīng)直腸前列腺穿刺。
[Abstract]:Objective: to compare the effectiveness and complications of transrectal and transperineal prostatic biopsy guided by transrectal ultrasound. Materials and methods: 270 patients who underwent prostate biopsy in the first affiliated Hospital of Zhejiang University from 2013 to 2014 were selected randomly. The clinical data were collected and analyzed retrospectively. Results: the positive rate of transrectal prostate puncture group was 42.22% 57 / 135 and that of perineum prostate puncture group was 44.4460 / 135%. There was no significant difference in the positive rate of puncture between the two groups (P 0.05). There was no significant difference in the positive rate between the transperineal and transrectal prostatic puncture groups in different PSA levels and age subgroups. There was no significant difference in Gleason score between the two groups (P 0.05). The incidence of total puncture complications in the transrectal prostate puncture group (27.41) was significantly higher than that in the perineal prostate puncture group (8.89%). The incidence of hematuria in the transrectal prostate puncture group was significantly higher than that in the transrectal prostate puncture group (P 0.01). There was no significant difference in other complications. Conclusion: there is no significant difference between transperineal and transrectal prostate puncture in the detection of prostate cancer, but the complications of transperineal prostate puncture are significantly less than that of transrectal prostate puncture.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R737.25
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本文編號(hào)：1870997