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阿布都热扎克·木塔力甫 艾热提·阿皮孜.经直肠实时组织超声弹性成像诊断前列腺良恶性病灶的价值[J].,2015,15(9):1705-1707 |
| 经直肠实时组织超声弹性成像诊断前列腺良恶性病灶的价值 |
| Value of Transrectal Real-time Tissue Elastography in the Diagnosis ofProstatic Benign and Malignant Lesions |
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| DOI： |
| 中文关键词: 实时组织超声弹性成像 前列腺 良恶性病灶 价值 |
| 英文关键词: Transrectal real-time tissue elastography Prostate Benign and malignant lesions Value |
| 基金项目: |
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| 中文摘要: |
| 目的：探索经直肠实时组织超声弹性成像技术在前列腺良恶性病灶诊断中的应用价值。方法：选取2013年12月至2014 年
5 月我科疑似前列腺癌(PCa)并拟行穿刺活检的患者49例，以病例活检结果作为金标准，对比经直肠实时组织超声弹性成像技
术、经直肠超声(TRUS)及直肠指诊(DRE)在疑似PCa 患者中的诊出结果，并对直肠超声进行弹性图像评分及应变指数分析。结
果：弹性图像评分≥ 4 分时，其对PCa 的敏感性、特异性及准确性分别为92.3%、91.3%和93.9%；良性病灶的应变指数为2.84±
4.72，恶性病灶的应变指数为32.12± 15.05，差异有统计学意义(P<0.05)。结论：经直肠实时组织超声弹性成像技术可提高PCa 的
诊出率，在前列腺良恶性病灶的鉴别及指导治疗与预后方面有重要价值。 |
| 英文摘要: |
| Objective:To explore the application value of transrectal real-time tissue elastography imaging in the diagnosis of
prostatic benign and malignant lesions.Methods:49 patients with suspected prostatic cancer (PCa) who underwent biopsy during
December 2013 to May 2014 in our department were chosen, biopsy was used as the gold standard, compared with diagnostic results of
transrectal real-time tissue elastography imaging, transrectal ultrasonography(TRUS), digital rectal examination(DRE) in suspected PCa
patients, TRUS was analyzed by elastography imaging score and strain index.Results:When elastography imaging score was over 4, the
sensitivity, specificity and accuracy of PCa diagnosis were 92.3%, 91.3%and 93.9%, respectively; benign lesions strain index was 2.84±
4.72, and malignant lesions strain index was 32.12± 15.05, the difference was statistically significant (P<0.05).Conclusion:Transrectal
real-time tissue elastography imaging can increase the diagnostic rate of PCa; it shows great value in identifying and guiding treatment
and prognosis of benign and malignant prostate lesions. |
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