【摘要】 目的探讨血清前列腺特异性抗原(PSA)联合超声引导下前列腺细针穿刺细胞学检查对前列腺癌的诊断价值。方法选择在该院住院并行血清PSA检查、超声引导下前列腺细针穿刺细胞学检查、前列腺全切除病理确诊的患者80例为研究对象,收集患者临床资料,分析上述不同方式对前列腺癌的诊断率及诊断效能。结果 80例患者中,前列腺癌患者25例(31.25%),非前列腺癌患者55例(68.75%)。非前列腺癌患者包括良性前列腺增生43例(53.75%),前列腺炎12例(15.00%)。血清PSA检查、超声引导下前列腺细针穿刺细胞学检查、血清PSA联合超声引导下前列腺细针穿刺细胞学检查均能有效检测前列腺癌,差异有统计学意义(P<0.05)。血清PSA联合超声引导下前列腺细针穿刺细胞学检查对前列腺癌的诊断价值高于单独方式的诊断价值。结论血清PSA联合超声引导下前列腺细针穿刺细胞学检查可极大提高前列腺癌的诊断率。更多还原

【Abstract】 Objective To explore the diagnostic value of serum prostate specific antigen(PSA)combined with fine needle aspiration cytology for prostate cancer under transrectal ultrasound.Methods Totally 80 patients who were hospitalized in Liaocheng Second People′s Hospital were selected as the study objects,the patients who were underwent PSA examination,fine needle aspiration cytology for prostate cancer under transrectal ultrasound in suspected area and pathological diagnosis of prostatectomy.The clinical data of the patients were collected to analyze the diagnostic rate and efficacy of the above-mentioned different methods for prostate cancer.Results Among the 80 patients,25(31.25%)were in prostate cancer group and 55(68.75%)in non prostate cancer group.The non prostate cancer group included 43 cases of benign prostatic hyperplasia(53.75%),12 cases of prostatitis(15.00%).The level of serum PSA,fine-needle aspiration cytology of prostate,serum PSA combined with fine needle aspiration cytology for prostate cancer under transrectal ultrasound could effectively detect prostate cancer,respectively,and the difference was statistically significant(P<0.05).The diagnostic value of serum PSA combined with fine needle aspiration cytology for prostate cancer under transrectal ultrasound was higher than that of the single way.Conclusion The diagnosis rate of prostate cancer can be greatly improved by the combination of serum PSA and fine needle aspiration cytology of prostate under transrectal ultrasound.更多还原