经直肠超声联合多因素诊断前列腺癌的应用的分析

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1、宁夏医科大学硕士研究生学位论文英文摘要TheApplicationofStudyonDiagnosisofProstaticCancerwiththeUltrasonicandMultifactorABSTRACTObjectivBythecombinedoftransrectalultrasound(TRUS),Prostatespecificantigen(PSA),prostatespecificantigendensity(PSAD)andprostatespecificantigenden

2、sityofthetransitionzone(PSATZ)inthedetectionofprostatecancer(PCa).Toevaluatetheprognosticthesensitivity,specifityandaccuracyofultrasonogyandmultifactoronprostaticcancer.MethodsAtotalof64PCapatients,100benignprostatehypertrophy(BPH)inintermediateserumPS

3、A≥4.0ng/mland/ordigitalrectalexamination(DRE)(+)and/orTransrectalultrasonogrophy(+)levelunderwentwasfoundonbiopsyortransrectalultrasound(TRUS)guidedbiopsy.ComparedwithPSA,PSAD,PSATZandTRUS,toexplorethesensitivityandspecificityofPSA,PSAD,PSATZandTRUSinD

4、etectingPCa.ResultsInatotalof164,84casesshowhypoechoicareasintheperipheralzoneofprostate，inwhich43arePCa，41areBPH.Theremaindonotshowobvioushypoechoicareasintheperipheralzone，inwhich22arePCa，58areBPH.ThesensitivityofTRUSis62.5%,specificityis59.0%andaccu

5、racyis60.4%.ThesensitivityofPSAis90.6%,specificityis13.0%andaccuracyis43.3%.ThesensitivityofPSADis84.4%,specificityis37.0%andaccuracyis55.5%.ThesensitivityofPSATZis84.9%,specificityis61.2%andaccuracyis70.7%.Conclusions(1)TRUSandcolorDopplerultrasoundha

6、svaluefordiagnosingprostatePCa.(2)PSADwassuperiortoPSAindifferentiationbetweenBPHofPCa.(3)PSATZwassuperiortoPSAandPSADasapredictorofPCainIntermediatePSAlevels.BaseonTRUSduringscreening,biopsiesshouldbedoneforpatientswithPSATZvalueHigherthanthecutoff0.3

7、5ng/(ml·cm3).II宁夏医科大学硕士研究生学位论文英文摘要Keywordstransrectalultrasonography;prostatecancer;prostatespecificantigen;prostatespecificantigendensity;prostatespecificantigendensityintransitionzoneIII宁夏医科大学硕士研究生学位论文中英文缩略词表中英文缩略词表英文缩略词英文全称中文全称CDFIColorDopplerFlowIm

8、aging彩色多普勒血流成像CEUSContrast-enhancedUltrasonograghy超声造影CTComputedTomography计算机断层摄影像MRIMagneticResonanceImaging磁共振成像PDIPowerDopplerImaging能量多普勒显像TRUSTransrectalUltrasonography经直肠超声PCaProstateCancer前列腺癌DREDigitalRectalExamination直肠指检BPHBen