摘要
目的分析210例接受直肠B超引导经会阴24针前列腺穿刺活检术患者并发症的发生率。方法收集2010--2012年我院行直肠B超引导经会阴24针前列腺穿刺活检术的210例患者的临床资料,并对其并发症进行回顾性分析。结果210例患者穿刺活检术后主要的并发症发生率为镜下血尿43.3%(91/210),血
便10.9%(23/210),排尿困难、尿潴留发生率为23.3%(49/210)和25.2%(53/210),发热(〉38℃)14.8%(31/210)和泌尿系感染21.9%(46/210),血管迷走神经反射1例(o.48%);此外,因穿刺相关的并发症而导致住院治疗的患者5例(2.5%)。结论直肠B超引导经会阴24针前列腺穿刺活检术是相对安全高效的穿刺方法,轻微并发症常见,严重并发症少见,对其并发症应引起足够的重视。
Objective 10 analyze the complmatlon rates in 210 patients unaergomg transrectat ultrasound-guided 24-core transperineal prostate biopsy. Methods Clinical data of 210 patients who underwent transreetal ultrasound-guided 24-core transperineal prostate biopsy from 2010 to 2012 were collected. A retrospective analysis of complications after prostate biopsy was conducted. Results The main postoperative complications were hematuria, bloody stool, dysuria, urinary retention, fever (~38~C), urinary infection, vasovagal syncope, and their complication rates were 43.3% (91/210), 10.9~ (23/210),23.3~ (49/210), 25.2% (53/210), 14.8~/oo (31/210), 21.9~/oo (46/210), O. 48~ (1/210) respectively. In addition, 5 patients (2.5~) were hospitalized due to Biopsy related complications. Conclusions Transrectal ultrasound-guided 24-core transperineal prostate biopsy is an relatively safe and effective puncture method with common minor complications and less severe complications. Adequate attentions should be paid to its complications.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2013年第12期1337-1338,共2页
Chinese Journal of Geriatrics