Volume 21 Issue 11
Nov.  2023
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HE Jia, LIU Ning, YU Tianqiang, SHI Kaiyuan, DUAN Yue. Application of contrast-enhanced ultrasound precise puncture in transrectal prostate biopsy[J]. Chinese Journal of General Practice, 2023, 21(11): 1920-1923. doi: 10.16766/j.cnki.issn.1674-4152.003258
Citation: HE Jia, LIU Ning, YU Tianqiang, SHI Kaiyuan, DUAN Yue. Application of contrast-enhanced ultrasound precise puncture in transrectal prostate biopsy[J]. Chinese Journal of General Practice, 2023, 21(11): 1920-1923. doi: 10.16766/j.cnki.issn.1674-4152.003258

Application of contrast-enhanced ultrasound precise puncture in transrectal prostate biopsy

doi: 10.16766/j.cnki.issn.1674-4152.003258
Funds:

 LY20H270003

 2020AD30003

  • Received Date: 2023-06-06
    Available Online: 2024-01-13
  •   Objective  To study the application effect of contrast-enhanced ultrasound precise puncture in transrectal prostate biopsy, aiming to improve the puncture positive rate, reduce patient pain, and provide a basis for clinical diagnosis and treatment.  Methods  A total of 150 patients with elevated prostate specific antigen (PSA) and prostate nodules admitted to the Rongjun Hospital of Zhejiang Province from July 2019 to December 2022 were selected and divided into control group (75 cases) and observation group (75 cases) according to the random number table method.Both groups underwent transrectal prostate biopsy, the control group undergoing routine ultrasound guided puncture, while the observation group undergoing precise ultrasound contrast-enhanced puncture.Each group was divided into four intervals based on PSA values, the first group: 4 ng/mL < PSA≤ 10 ng/mL; the second group: 10 ng/mL < PSA≤20 ng/mL; the third group: 20 ng/mL < PSA≤40 ng/mL; the fourth group: PSA>40 ng/mL.The related indicators (number of puncture needles, number of positive needles, Gleason score), incidence of adverse reactions (slight hematuria, fever, rectal bleeding, urinary retention, dysuria), and malignant detection rate of biopsy pathology in four regions were compared between the two groups.  Results  The number of puncture needles in the observation group was similar to that in the control group (P>0.05).The number of positive needles[(1.84±0.52) needles]and Gleason score[(7.25±1.22) points]were higher than those in the control group[(1.56±0.41) needles, (6.32±1.06) points, both P < 0.05].The incidence of adverse reactions in the observation group (9.33%, 7/75) was lower than that in the control group (46.67%, 35/75, P < 0.05).The malignant detection rate in the observation group (52.00%, 39/75) was higher than that in the control group (34.67%, 26/75, P < 0.05).The difference in malignant detection rate of puncture biopsy pathology between different zones in the 2 groups was statistically significant (P < 0.05).  Conclusion  The application of contrast-enhanced ultrasound precise puncture in transrectal prostate biopsy has a good effect, can improve the positive rate of puncture and the detection rate of prostate cancer, and can reduce adverse reactions, which is worthy of application.

     

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  • [1]
    王超, 梅志杰, 曹振学, 等. 前列腺癌中miR-140-5p靶向YES1抑制细胞增殖和迁移的作用研究[J]. 中华全科医学, 2021, 19(5): 731-735. doi: 10.16766/j.cnki.issn.1674-4152.001903

    WANG C, MEI Z J, CAO Z X, et al. Study on the inhibitory effect of miR-140-5p targeting YES1 on cell proliferation and migration in prostate cancer[J]. Chinese Journal of General Medicine, 2021, 19(5): 731-735. doi: 10.16766/j.cnki.issn.1674-4152.001903
    [2]
    方超, 黄山, 石敏捷, 等. 前列腺穿刺活检在超声造影阳性区减针的初步研究[J]. 临床与病理杂志, 2022, 42(5): 1173-1178.

    FANG C, HUANG S, SHI M J, et al. Preliminary study on needle reduction of prostate biopsy in the positive area of contrast-enhanced ultrasound[J]. Journal of Clinical and Pathology, 2022, 42(5): 1173-1178.
    [3]
    姜脉涛, 靳艳萍, 王秀云, 等. 系统活检联合超声造影及弹性成像靶向活检在前列腺活检中的应用价值[J]. 现代生物医学进展, 2022, 22(19): 3719-3723.

    JIANG M T, JIN Y P, WANG X Y, et al. The application value of systematic biopsy combined with contrast-enhanced ultrasound and elastography targeted biopsy in prostate biopsy[J]. Modern Biomedical Progress, 2022, 22(19): 3719-3723.
    [4]
    金阳丽, 蒋天安. 不同影像引导方式下前列腺穿刺活检的比较分析[J]. 中国超声医学杂志, 2022, 38(10): 1165-1169.

    JIN Y L, JIANG T A. Comparative analysis of prostate biopsy under different imaging guidance methods[J]. Chinese Journal of Ultrasound Medicine, 2022, 38(10): 1165-1169.
    [5]
    高泳, 陈圆圆, 韦丽艳, 等. 前列腺癌超声造影、活检受侵范围与病理新分级分组的相关性[J]. 中国医学影像学杂志, 2022, 30(3): 272-276.

    GAO Y, CHEN Y Y, WEI L Y, et al. The correlation between the invasion range of prostate cancer contrast-enhanced ultrasound, biopsy, and new pathological grading grouping[J]. Chinese Journal of Medical Imaging, 2022, 30(3): 272-276.
    [6]
    张宇, 汪良, 宋亚荣, 等. 直肠超声引导下认知融合磁共振经会阴途径前列腺穿刺活检的个人学习曲线研究[J]. 临床泌尿外科杂志, 2022, 37(5): 354-358.

    ZHANG Y, WANG L, SONG Y R, et al. A study on the personal learning curve of rectal ultrasound guided cognitive fusion magnetic resonance transperineal prostate biopsy[J]. Journal of Clinical Urology, 2022, 37(5): 354-358.
    [7]
    李渝, 罗季平, 但思宇, 等. 经直肠常规超声联合超声造影在前列腺良恶性病灶鉴别诊断中的应用[J]. 中国超声医学杂志, 2023, 39(3): 287-291.

    LI Y, LUO J P, DAN S Y, et al. Application of transrectal conventional ultrasound combined with contrast-enhanced ultrasound in the differential diagnosis of benign and malignant prostate lesions[J]. Chinese Journal of Ultrasound Medicine, 2023, 39(3): 287-291.
    [8]
    蔡浪, 思雨, 吴小燕. 比较直肠超声引导下经会阴与经直肠前列腺穿刺活检的临床应用效果[J]. 检验医学与临床, 2022, 19(7): 948-950.

    CAI L, SI Y, WU X Y. Comparison of clinical application effects of transvaginal and transrectal prostate biopsy guided by rectal ultrasound[J]. Journal of Laboratory Medicine and Clinical Medicine, 2022, 19(7): 948-950.
    [9]
    刘赛, 王明帅, 曹文, 等. 经会阴与经直肠前列腺穿刺活检在前列腺癌诊断中的对比分析[J]. 首都医科大学学报, 2021, 42(3): 470-474. doi: 10.3969/j.issn.1006-7795.2021.03.022]

    LIU S, WANG M S, CAO W, et al. Comparative analysis of transperineal and rectal prostate biopsy in the diagnosis of prostate cancer[J]. Journal of Capital Medical University, 2021, 42(3): 470-474. doi: 10.3969/j.issn.1006-7795.2021.03.022]
    [10]
    盛烨钦, 徐泽坤, 王超, 等. 超声造影靶向穿刺与磁共振超声融合穿刺在前列腺癌诊断上的比较[J]. 中国超声医学杂志, 2022, 38(9): 1054-1057. doi: 10.3969/j.issn.1002-0101.2022.09.027

    SHENG Y Q, XU Z K, WANG C, et al. Comparison of contrast-enhanced ultrasound targeted puncture and magnetic resonance ultrasound fusion puncture in the diagnosis of prostate cancer[J]. Chinese Journal of Ultrasound Medicine, 2022, 38(9): 1054-1057. doi: 10.3969/j.issn.1002-0101.2022.09.027
    [11]
    刘水澎, 王艺桦, 阚艳敏, 等. 剪切波弹性成像联合超声造影在良恶性前列腺结节鉴别诊断中的应用价值[J]. 广西医学, 2021, 43(22): 2675-2677, 2693.

    LIU S P, WANG Y H, KAN Y M, et al. The application value of shear wave elastography combined with contrast-enhanced ultrasound in the differential diagnosis of benign and malignant prostate nodules[J]. Guangxi Medical Journal, 2021, 43(22): 2675-2677, 2693.
    [12]
    吴国柱, 马可为, 红华, 等. 超声造影对前列腺脓肿的诊断价值[J]. 中国超声医学杂志, 2021, 37(9): 1073-1076.

    WU G Z, MA K W, HONG H, et al. The diagnostic value of contrast-enhanced ultrasound in prostate abscess[J]. Chinese Journal of Ultrasound Medicine, 2021, 37(9): 1073-1076.
    [13]
    崔凌煦, 红华, 梁丹艳, 等. 经直肠超声造影联合血清外泌体对早期前列腺癌的诊断价值[J]. 中华实用诊断与治疗杂志, 2022, 36(11): 1145-1148.

    CUI L X, HONG H, LIANG D Y, et al. The diagnostic value of transrectal contrast-enhanced ultrasound combined with serum exosomes for early prostate cancer[J]. Chinese Journal of Practical Diagnosis and Treatment, 2022, 36(11): 1145-1148.
    [14]
    刘鸿翔, 刘肇华, 刘锡海, 等. 经直肠超声弹性成像辅助下前列腺穿刺活检用于前列腺癌诊断的价值[J]. 海南医学, 2021, 32(20): 2663-2666.

    LIU H X, LIU Z H, LIU X H, et al. The value of transrectal ultrasound elastography assisted prostate biopsy for the diagnosis of prostate cancer[J]. Hainan Medical Journal, 2021, 32(20): 2663-2666.
    [15]
    白松, 吴斌. 在磁共振阴性的患者中经直肠超声引导下前列腺穿刺活检术诊断前列腺癌的预测模型[J]. 中国男科学杂志, 2021, 35(2): 12-18, 23.

    BAI S, WU B. A predictive model for transrectal ultrasound guided prostate biopsy in the diagnosis of prostate cancer in patients with negative magnetic resonance imaging[J]. Chinese Journal of Andrology, 2021, 35(2): 12-18, 23.
    [16]
    聂军, 赵友, 罗卫平, 等. 多参数磁共振成像: 经直肠超声认知融合引导下经会阴前列腺靶向穿刺活检在前列腺癌诊断中的应用[J]. 江苏医药, 2022, 48(11): 1145-1148.

    NIE J, ZHAO Y, LUO W P, et al. Application of transperineal targeted prostate biopsy guided by multi-parameter magnetic resonance imaging transrectal ultrasound cognitive fusion in the diagnosis of prostate cancer[J]. Jiangsu Medical Journal, 2022, 48(11): 1145-1148.
    [17]
    赵云歆, 孙剑, 王晓莲, 等. 经直肠超声造影成像联合磁共振对前列腺癌的早期诊断价值[J]. 中国CT和MRI杂志, 2021, 19(8): 120-122, 128.

    ZHAO Y X, SUN J, WANG X L, et al. The early diagnostic value of transrectal contrast-enhanced ultrasound imaging combined with magnetic resonance imaging for prostate cancer[J]. Chinese Journal of CT and MRI, 2021, 19(8): 120-122, 128.
    [18]
    汪蕾, 肖峻, 陶陶, 等. 双参数磁共振成像: 经直肠超声引导靶向穿刺与前列腺特异性抗原或前列腺特异性抗原密度组合对前列腺癌诊断价值的研究[J]. 中国临床保健杂志, 2022, 25(3): 402-406.

    WANG L, XIAO J, TAO T, et al. Study on the diagnostic value of dual parameter magnetic resonance imaging transrectal ultrasound guided targeted puncture combined with prostate specific antigen or prostate specific antigen density for prostate cancer[J]. Chinese Journal of Clinical Health, 2022, 25(3): 402-406.
    [19]
    吴汉潮, 张雄伟, 王强, 等. MRI与经直肠超声引导下前列腺穿刺活检术对不同PSA水平前列腺癌患者的诊断效能比较[J]. 河北医药, 2021, 43(19): 2958-2961.

    WU H C, ZHANG X W, WANG Q, et al. Comparison of diagnostic efficacy between MRI and transrectal ultrasound guided prostate biopsy for prostate cancer patients with different PSA levels[J]. Hebei Medical Journal, 2021, 43(19): 2958-2961.
    [20]
    贺修宝, 李灿, 胡小梅. 经直肠超声造影、血清前列腺特异性抗原检测在前列腺癌穿刺活检诊断中的应用[J]. 中国性科学, 2022, 31(2): 9-12.

    HE X B, LI C, HU X M. Application of transrectal contrast-enhanced ultrasound and serum prostate specific antigen detection in prostate cancer biopsy diagnosis[J]. Chinese Journal of Sexual Sciences, 2022, 31(2): 9-12.
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