经直肠实时组织弹性成像引导靶向穿刺在前列腺癌诊断中的应用研究.docx

经直肠实时组织弹性成像引导靶向穿刺在前列腺癌诊断中的应用研究

冯战启胡和平刘彦军李纪华吴辉

[关键词]?经直肠实时组织弹性成像；靶向穿刺；前列腺癌；穿刺阳性率

[中图分类号]?R737.25??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.01.004

The?application?of?transrectal?real-time?tissue?elastography?guided?targeted?puncture?in?the?diagnosis?of?prostate?cancer

FENG?Zhanqi，?HU?Heping，?LIU?Yanjun，?LI?Jihua，?WU?Hui

Department?of?Urinary?Surgery，?the?First?People’s?Hospital?of?Zhengzhou，?Zhengzhou?450004，?Henan，?China

[Abstract]?Objective?To?investigate?the?clinical?application?value?of?transrectal?real-time?tissue?elastography?（TRTE）?guided?targeted?puncture?in?the?diagnosis?of?prostate?cancer.?Methods?A?total?of?52?patients?with?suspected?prostate?cancer?who?were?treated?in?the?First?People’s?Hospital?of?Zhengzhou?from?January?2020?to?December?2022?were?selected?as?the?study?objects.?Preoperative?routine?transrectal?ultrasound?and?TRTE?examination?were?performed?to?evaluate?the?benign?and?malignant?prostates.?For?the?28?patients?with?suspected?lesions?found?in?TRTE，?TRTE-guided?targeted?puncture?（2?needles）?+?systematic?puncture?（8?needles）?were?performed，?for?the?24?patients?with?no?suspicious?lesions?found?in?TRTE，?routine?ultrasound-guided?systematic?puncture?（12?needles）?was?performed.?The?efficacy?of?TRTE?in?the?diagnosis?of?prostate?cancer?was?analyzed?and?the?positive?rate?of?targeted?puncture?and?systematic?puncture?was?compared.?Results?In?this?study，?25?cases?of?prostate?cancer?and?27?cases?of?benign?lesions?were?ultimatelynbsp;pathologically?diagnosed，?while?a?total?of?28?cases?of?prostate?cancer?and?24?cases?of?benign?lesions?were?diagnosed?with?TRTE.?The?positive?predictive?value?and?negative?predictive?value?of?the?diagnosis?were?75.0%?（21/28）?and?83.3%?（20/24），?respectively.?In?28?patients?with?suspected?lesions?found?by?TRTE，?a?total?of?56?needles?were?targeted?puncture，?36?needles?were?diagnosed?with?prostate?cancer，?positive?rate?was?64.29%?（36/56），?and?a?total?of?224?needles?were?systematic?puncture，?89?needles?were?diagnosed