KHẢO SÁT KẾT QUẢ BƯỚC ĐẦU CỦA SINH THIẾT TUYẾN TIỀN LIỆT QUA TRỰC TRÀNG DƯỚI HƯỚNG DẪN SIÊU ÂM TRONG CHẨN ĐOÁN UNG THƯ TUYẾN TIỀN LIỆT TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: To survey the initial results of ultrasound-guided transrectal prostate biopsy in the diagnosis of prostate cancer at Military Hospital 103. Subjects and methods: Prospective study on 126 patients indicated for ultrasound-guided transrectal prostate biopsy at the Department of Urology, Military Hospital 103 from September 2019 to April 2025. Results: The majority of patients with rectal examination were not suspected of prostate cancer, accounting for 61.01%. Most patients had PSA levels ≥ 4 ng/ml, accounting for 96.03%. 45.24% of patients were detected with prostate cancer through prostate biopsy. Patients with suspected prostate cancer on digital rectal examination had an 8.14 times higher risk of prostate cancer than patients without suspected prostate cancer on digital rectal examination. The group of patients with PSA concentration ≥ 4ng/ml has a 3.45 times higher risk of prostate cancer than the group with PSA < 4 ng/ml. The majority of patients after prostate biopsy had no complications, accounting for 76.98%. Conclusion: Transrectal prostate biopsy under ultrasound guidance is a highly accurate procedure used in the diagnosis of prostate cancer, with high safety and few complications. Digital rectal examination and PSA concentration testing are related to prostate cancer.