前列腺穿刺活检术的研究进展

Research Progress of Prostate Biopsy

关键词:  前列腺癌  多参数磁共振成像  融合定位成像  靶向穿刺  经直肠超声

Key words:  prostatic cancer  mpMRI  fusion localization imaging  targeted puncture  transrectal ultrasound

摘要:

前列腺癌(Prostate Cancer, PCa)是一种对中老年男性危害巨大的恶性疾病。近年来,前列腺癌在我国的发病率及死亡率显著升高。以往,系统性6针穿刺活检法是临床上应用最多的前列腺癌诊断方法,但此方法并不能明显提高前列腺癌的检出率。随着影像学技术如单光子计算机断层扫描(ECT)、多排螺旋CT (MDCT)、经直肠超声(TRUS)和多参数磁共振成像(mpMRI)等技术的发展,以及多种融合技术在实际操作中的应用,前列腺穿刺变得精准化、可视化,病理诊断阳性率有所提高,同时穿刺针数减少,并发症的发生降低。本文就近年来前列腺穿刺活检术的新进展进行综述。

Abstract:

Prostate Cancer (PCa) is a malignant disease with great harm to middle-aged and elderly men. In recent years,the incidence and mortality of prostate cancer in China have increased significantly. In the past,systematic 6-core biopsy was the most widely used method for the diagnosis of prostate cancer in clinical practice,but this method could not significantly improve the detection rate of prostate cancer. With the progress of imaging technologies such as single photon Computed Tomography (ECT),Multi-slice spiral CT (MDCT),Transrectal of Ultrasound (TRUS) and multi-parameter Magnetic Resonance (mpMRI),as well as the application of various fusion technologies in practical operation,prostate puncture has become accurate and visible,the positive rate of pathological diagnosis has been improved,and the number of puncture needles and complications have been reduced. This article reviews the new progress of prostate biopsy in recent years.