Kết quả sinh thiết tuyến tiền liệt một lỗ free-hand qua tầng sinh môn dưới hướng dẫn siêu âm tại Bệnh viện Đa khoa Tâm Anh=Results of freehand ultrasound-guided transperineal prostate biopsy at Tam Anh Hospital

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Tác giả: Khánh Huyền Đặng, Văn Lý Đào, Nguyên Tài Hoàng, Văn Khánh Lê, Xuân Hiền Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.111-117

Bộ sưu tập: Metadata

ID: 243902

Thêm vào giỏ

Nghiên cứu của chúng tôi mục đích để đánh giá kết quả sinh thiết tuyến tiền liệt (TTL) một lỗ tự do qua tầng sinh môn dưới hướng dẫn siêu âm. Phương pháp: Nghiên cứu thực hiện trên 24 bệnh nhân (BN) được sinh thiết TTL một lỗ tự do qua tầng sinh môn dưới hướng dẫn siêu âm tại Trung tâm Chẩn đoán hình ảnh và Điện quang can thiệp - Bệnh viện Đa khoa Tâm Anh Hà Nội từ 10/2021 đến hết 02/2024. Kết quả: 15 BN trong nghiên cứu có kết quả mô bệnh học là ung thư TTL (chiếm 62,5%) với trung bình số mẫu sinh thiết có mô ung thư là 9,1/12 mẫu sinh thiết, tỷ lệ lõi dương tính là 75,6% ở các BN ung thư. Điểm đau VAS trung bình ở các BN trong nghiên cứu là 2,9, trong đó VAS 3 điểm chiếm tỷ lệ cao nhất (50%). Sau sinh thiết, có 20,8% BN bị chảy máu niệu đạo và không có bệnh nhân nào bị nhiễm trùng sau sinh thiết. Kết luận: Sinh thiết tuyến tiền liệt một lỗ Free- hand qua tầng sinh môn có giá trị cao và an toàn trong chẩn đoán ung thư tuyến tiền liệt.Our study aimed to evaluate the results of transperineal prostate biopsy under ultrasound guidance. Method: This retrospective study was conducted on 24 patients (BN) who underwent transperineal prostate biopsy under ultrasound guidance at the Center for Diagnostic Imaging and Interventional Radiology - Tam Anh General Hospital, Hanoi from October 2021 to February 2024. Results: 15/24 patients were diagnosed with prostate cancer (accounting for 62.5%) with an average number of biopsy samples with cancer tissue of 9.1 out of 12 biopsy samples, the rate of positive cores was 75.6% in cancer patients. The average VAS pain score in the patients in the study was 2.9, of which VAS 3 points accounted for the highest incidence (50%). After biopsy, 20.8% of patients had urethral bleeding and no patient had post-biopsy infection. Conclusion: Free-hand transperineal prostate biopsy is highly valuable and safe in the diagnosis of prostate cancer.

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