%0 Journal Article
%T 经直肠超声、超声造影与磁共振动态增强成像在前列腺癌诊断中临床价值比较
%A 哈木拉提·吐送
%A 王玉杰
%A 迪力亚尔·吐尔洪
%A 阿斯木江·阿不拉
%J 肿瘤防治研究
%D 2015
%R 10.3971/j.issn.1000-8578.2015.09.012
%X 摘要 目的 研究比较经直肠超声（transrectal ultrasound, TRUS）、超声造影（contrast-enhanced ultrasonography, CEUS）与磁共振动态增强成像（dynamic contrast material-enhanced magnetic resonance imaging, DCE-MRI）在前列腺癌诊断中的临床价值。方法 回顾性分析临床疑诊前列腺癌并进一步行系统穿刺活检术的63例患者术前TRUS、CEUS、DCE-MRI的相关检查数据，结合病理组织学结果，对上述三种检查方法在前列腺癌诊断中的临床价值进行比较。结果 TRUS、CEUS、DCE-MRI对前列腺癌诊断的特异性分别为48.84%、74.42%和69.77%，敏感度分别为60%、65%和85%，诊断准确率分别为52.38%、71.43%、74.60%，TRUS、CEUS、DCE-MRI三种影像学检查方法对前列腺癌的诊断价值差异无统计学意义（P>0.05）；TRUS、CEUS、DCE-MRI的ROC曲线下面积比较结果分别为0.550、0.723、0.781，其中DCE-MRI的敏感度和准确率最高。结论 对疑诊前列腺癌患者的筛查中，CEUS、DCE-MRI较TRUS具有更高的准确率，而其中DCE-MRI的敏感度和准确率最高
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%U http://www.zlfzyj.com/CN/abstract/abstract8590.shtml