前列腺靶向穿刺技术发展概况

doi:10.19558/j.cnki.10-1020/r.2018.06.016

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摘要前列腺穿刺活检是诊断前列腺癌的金标准。为提高穿刺的准确性,临床上常进行多针饱和穿刺,但这在提高诊断阳性率的同时也增加了术后感染、血尿、排尿困难等并发症的概率。在精准医学和人工智能蓬勃发展的今天,前列腺靶向穿刺技术应运而生。通过结合影像学、图像融合及人工智能等技术,前列腺靶向穿刺技术既减少了穿刺针数,又有效提高穿刺的准确性,同时减轻患者痛苦,是前列腺癌诊断领域的又一发展趋势。现就国内外前列腺靶向穿刺技术热点,如超声造影引导靶向穿刺技术、磁共振与经直肠超声融合靶向穿刺技术及两者与机器人相结合的机器人靶向穿刺技术的概况进行综述。

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	邓益森
	何宇辉
	周晓峰

关键词 ：前列腺癌, 靶向穿刺, 超声造影, 磁共振与经直肠超声融合

Abstract：In recent years, the incidence of prostate cancer in China has been increasing. Prostate biopsy is the gold standard of diagnosis of prostate cancer. The main method to improve the accuracy of puncture is to conduct multi-needle saturation puncture. However, while improving the diagnostic rate, the method increases the postoperative complications such as infection, hematuria and dysuria. With the rapid development of precision medicine and artificial intelligence, prostate targeted puncture technology has come into being. By combining imaging, image fusion, and artificial intelligence technology, prostate targeted puncture technology can decrease the number of needle puncture, and effectively improve the accuracy of puncture. Besides, it can reduce patients' pain and sufferings, and is another trend in the field of diagnosis of prostate cancer. As well as discussing hot spots at domestic and abroad, this paper will review targeted prostate biopsy technology such as contrast-enhanced ultrasound to guide targeted piercing technology, magnetic resonance imaging/transrectal ultrasound fusion targeted biopsy and targeted piercing technology of robot combined with those two methods.

Key words： prostate cancer targeted puncture contrast-enhanced ultrasound magnetic resonance imaging/transrectal ultrasound

收稿日期: 2018-07-09

ZTFLH:

R737.25

基金资助:首都卫生发展科研专项项目-首都转化医学研究专项项目(首发2018-2Z-4069)

通讯作者: 周晓峰,doctorzxf@126.com

引用本文:

邓益森, 何宇辉, 周晓峰. 前列腺靶向穿刺技术发展概况[J]. 微创泌尿外科杂志, 2018, 7(6): 428-432.
Deng Yisen, He Yuhui, Zhou Xiaofeng. Development of prostate targeted puncture technology. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(6): 428-432.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1468.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2018/V7/I6/428

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