张积华张毅△ 袁梅郑淑芳.前列腺钙化灶的超声显像诊断与分型的临床研究[J].现代生物医学进展英文版,2011,11(20):3923-3926. |
前列腺钙化灶的超声显像诊断与分型的临床研究 |
Clinical Study of Ultrasonic Diagnosis and Type in Prostate Focal Calcify |
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DOI: |
中文关键词: 前列腺疾病 钙化 超声 诊断 分型 |
英文关键词: Prostate disease Focal calcify Ultrasonic Diagnosis Type |
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中文摘要: |
目的:探究超声显像诊断前列腺钙化灶(PFC) 的临床实用价值和超声分型。方法:对1284 例经腹部超声显像诊断为PFC
的临床资料进行回顾性分析,并根据超声所见进行分型。结果:超声显像诊断PFC 1,284 例,单发768 例(59.81%),多发516 例
(40.19%);钙化灶直径2~36mm;Ⅰ度542 例(42.21%),Ⅱ度460 例(35.83%),Ⅲ度282 例(21.96%);孤立型412 例(32.09%),散在型
319 例(24.84%),聚集型395 例(30.76%),条索型158 例(12.31%)。内腺435 例(33.88%)、外腺348 例((27.10%)、内外腺交界处351
例(27.34%)、后尿道周围150 例(11.68%)。单纯性钙化520 例(40.50%),合并前列腺增生597 例(46.50%)、前列腺炎129 例
(10.05%)、前列腺囊肿36 例(2.80%)、前列腺癌2 例(0.16%)。结论:PFC 是男性泌尿生殖系统常见疾病,其程度和类型与年龄密
切相关,近半数与前列腺增生并存,可能与组织退变、增生、炎症、钙磷代谢紊乱等因素有关。超声显像是诊断PFC 最可靠、最简便
的方法,具有重要的临床实用价值。 |
英文摘要: |
Objective: To study the clinical practicality value of ultrasonic diagnosis in prostate focal calcify (PFC) and the
ultrasonic type of PFC. Methods: 1284 cases with the ultrasonic diagnosis of PFC were retrospectively analyzed and ultrasonic type of
PFC was made. Results: Of the 1,284 cases with ltrasonic diagnosis of PFC, there were 768 cases (59.81%) with solitary calcification foci
and 516 cases (40.19%) with multiple calcification foci. The diameter of calcification foci was between 2mm and 36mm. According to
the type of PFC ultrasonogram, there were 412 cases (32.09%) belong to the solitary type, 319 cases (24.84%) belong to the interspersed
type, 395 cases (30.76%) belong to the aggregated type, 158 cases (12.31%) belong to the strip type. According to the severity of PFC
ultrasonogram, there were 542 cases (42.21%) belong toⅠ°, 460 cases (35.83%) belong to Ⅱ°, 282 cases (21.96%) belong to Ⅲ°.
There were 435 cases (33.88%) with the PFC located in the inner gland, 348 cases (27.10%) with the PFC located in the outer gland, 351
cases (27.34%) with the PFC located in the juncture of inner and outer gland, 150 cases (11.68%) with the PFC located in the surrounding
of posterior urethra. There were 520 cases (40.50%) just with simple calcification foci, 597 cases (46.50%) also complicated with
prostatic hyperplasia, 129 cases (10.05%) complicated with prostatitis, 36 cases (2.80%) complicated with prostatic cyst, 2 cases (0.16%)
complicated with prostate cancer. Conclusions: PFC is a common disease of male urogenital system, the degree of severity and type of
which has no correlation with the patients' age. Almost half of the patients with PFC complicated with prostatic hyperplasia, this may be
related to the factors of degeneration of tissue, hyperplasia, inflammation and disorder of calcium phosphate metabolism. Ultrasonic
diagnosis is the most reliable and simple method of diagnosis of PFC, and the method has important clinical practical value. |
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