摘要
目的分析比较前列腺癌和前列腺增生的CT影像学图像特征,为临床鉴别诊断提供可靠依据。方法选取2020年2月至2021年2月于本院就诊的58例前列腺患者作为研究对象,根据疾病分为前列腺增生组(n=33)和前列腺癌组(n=25)。两组均接受64排CT平扫检查,比较两组经CT检查后的影像学图像特征,包括体积增大、边缘毛糙、密度减低、转移及毗邻组织侵犯。结果58例患者中前列腺增生检出率为56.9%(33/58)、前列腺癌检出率为43.1%(25/58)。前列腺增生组体积增大显著高于前列腺癌组(P<0.05),前列腺增生组密度减低、边缘毛糙、毗邻组织侵犯和转移检出率低于前列腺癌组(P<0.05)。结论前列腺癌患者的密度减低、边缘毛糙、毗邻组织侵犯和转移的CT影像学图像特征明显,在前列腺癌与前列腺增生的鉴别诊断中具有重要价值。
Objective To analyze and compare the CT image features of prostate cancer and benign prostatic hyperplasia,and to provide reliable basis for clinical differential diagnosis.Methods 58 cases of prostate patients in our hospital from February 2020 to February 2021 were selected as the research subjects,according to the disease,they were divided into benign prostatic hyperplasia group(n=33)and prostate cancer group(n=25).Both groups of patients underwent 64 row CT plain scan.The imaging characteristics of the two groups after CT examination were compared,including volume increase,rough edge,density reduction,metastasis and adjacent tissue invasion.Results Among the 58 patients,56.9%(33/58)were benign prostatic hyperplasia and 43.1%(25/58)were prostate cancer.The enlarged volume of benign prostatic hyperplasia group was significantly higher than that of prostate cancer group(P<0.05),the detection rate of prostate hyperplasia group with reduced density,rough edge,adjacent tissue invasion and metastasis were lower than those of prostate cancer group(P<0.05).Conclusion The CT image features of prostate cancer patients with reduced density,rough edge,adjacent tissue invasion and metastasis are obvious,which has important value in the differential diagnosis of prostate cancer and benign prostatic hyperplasia.
作者
李锋
谢程
罗志坚
LI Feng;XIE Cheng;LUO Zhijian(Department of Imaging,The First People's Hospital of Fuzhou,Fuzhou,Jiangxi,344000,China)
出处
《当代医学》
2022年第29期105-107,共3页
Contemporary Medicine
关键词
前列腺癌
前列腺增生
CT影像学图像特征
鉴别诊断
Prostate cancer
Benign prostatic hyperplasia
CT imaging features
Differential diagnosis
