| 路璐 李小顺 何丽萍 付晓亮 王东.经直肠B 超诊断前列腺增生的图像特征及其临床意义[J].,2016,16(9):1704-1706 |
| 经直肠B 超诊断前列腺增生的图像特征及其临床意义 |
| Image Features of B-type Ultrasound in the Diagnosis of Benign ProstaticHyperplasia and Its Guiding Role in Treatment |
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| DOI： |
| 中文关键词: 前列腺增生 B 超 诊断 声像图 |
| 英文关键词: Benign prostatic hyperplasia B-type ultrasound Diagnosis Sonogram |
| 基金项目:陕西省教育厅科学技术研究项目(2008588) |
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| 中文摘要: |
| 目的：探讨前列腺增生（BPH）经直肠B 超检查的图像特征及其对治疗的指导作用。方法：回顾性分析103 例经术后病理组
织学诊断确诊的BPH 患者临床资料，总结其经直肠B 超图像特征，并根据B 超诊断结果选择适宜治疗方法。结果：经直肠B 超检
出BHP 98 例，2 例误诊，3 例漏诊，诊断符合率、误诊率、漏诊率分别为95.14%、1.94%、2.91%；B 超图像显示BPH 病灶呈细小均
匀光点，前列腺变圆、增大，内腺以低回声为主，外腺以低回声及中、低混合回声为主；包膜清晰占62.92%；98 例确诊为BPH 的患
者当中，66 例行经尿道电切术、16 例在B超引导下行无水乙醇注射，16 例行开放性手术。结论：直肠B 超通过观察回声、内外腺
前后径比例、有无包膜、分界情况等准确诊断前列腺增生，同时可通过测量前列腺重量指导临床治疗。 |
| 英文摘要: |
| Objective:To summarize image features of transrectal B-type ultrasound in the diagnosis of benign prostatic hyperplasia
(BPH) and their guiding role in surgery.Methods:We retrospectively analyzed the clinical data of 103 BPH patients confirmed by
histopathological diagnosis, summarized the transrectal B-ultrasound features, and chose appropriate treatments on the base of B-ultrasound
results.Results:According to the transrectal B-ultrasound, 98 cases had BHP, 2 cases were misdiagnosed and 3 cases were missed.
The diagnose accordance rate, misdiagnosis rate and the missed diagnosis rate was respectively 95.74%, 1.94%and 2.91%. B-ultrasound
images displayed that BPH lesions appeared as fine light points, and the prostate gland became round and enlarged. Inner gland mainly
had hypoechoic while outer gland had iso-echoic, or hypoechoic mixed. Clear envelope accounted for 62.92%. Among the 98 cases confirmed
as BPH, 66 cases had transurethral resection, 16 cases got B ultrasound-guided injection of ethanol, 16 cases had open surgery.Conclusion:The transrectal B-type ultrasound can help accurate diagnosis of benign prostatic hyperplasia by observing the echo, the proportion
of the anteroposterior diameter of the inner and outer gland, with or without the envelope, boundary conditions and so on. It also
can guide clinical treatment by measuring prostate weight. |
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