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导向超前列腺活检,其中超声波传感器:跨直肠或超:一个回顾性研究

Yang Xiao¹, Lina Han¹, Han Wang¹

¹Department of Ultrasonography, Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.

|November 15, 2024

概括

与跨直肠超声指导的跨直肠前列腺活检 (TR-TPPB) 相比,超直肠超声指导的跨直肠前列腺活检显示出类似的前列腺癌检测率和并发症率. TP-TPPB提供了更简单的设备需求,避免了直肠准备,有利于患有直肠问题的患者.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
在瘤学瘤学.
医疗成像医学成像

背景情况:

前列腺活检通常使用跨直肠或跨关节的方法.
跨直肠活检利用直肠超声波探针进行可视化.
有限的报道存在于使用围皮肤放置的超声波探针进行跨围活检的情况.

研究的目的:

为了比较跨关节超声波引导的跨关节前列腺活检 (TP-TPPB) 和跨直肠超声波引导的跨关节前列腺活检 (TR-TPPB) 之间的前列腺癌检测率 (PCDR).
为了评估和比较两种活检技术之间的术后并发症率.
为了评估TP-TPPB与TR-TPPB相比,TP-TPPB的整体应用价值.

主要方法:

一项追溯性研究涉及119名接受TP-TPPB治疗的患者和85名接受TR-TPPB治疗的患者 (对照).
两组之间总体和PSA级别分类的PCDR的比较.
分析特定前列腺区域的单针PCDR和术后并发症率.

主要成果:

总的来说,PCDR是可比的:TP-TPPB的35.3%,TR-TPPB的32.9% (p=0.727).
在PSA水平类别之间没有观察到PCDR的显著差异 (p>0.05).
在特定地区 (L4,L5,R2,顶部;p<0.05) 发现单针PCDR的显著差异,并发症率没有差异.

结论:

TP-TPPB和TR-TPPB的前列腺癌检测率和并发症率相似.
TP-TPPB使用了更简单的设备,并消除了对肠道制备的需求.
对于患有直肠禁忌的患者,例如严重的或门疾病,TP-TPPB特别有利.

关键词:

活检是为了检查生物质.复杂性复杂性复杂性检测速度的检测速度前列腺新生体前列腺瘤.超声波指导导超声波指导

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