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直肠B超引导下经会阴24针前列腺穿刺活检术的并发症分析 被引量:1

Analysis of postoperative complications after transrectal ultrasound-guided 24-core transperineal prostate biopsy
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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
关键词 前列腺肿瘤 活组织检查 针吸 Prostatic neoplasms Biopsy, needle
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参考文献5

  • 1Kakehi Y, Naito S, Japanese Urological Association. Complication rates of ultrasound-guided prostate biopsy: a nation-wide survey in Japan. Int J Urol, 2008, 15:319-321.
  • 2Sieber PR, Rommel FM, Theodoran CG, et al. Contemporary prostate biopsy complication rates in community-based urology practice. Urology, 2007, 70:498-500.
  • 3Berger AP, Gozzi C, Steiner H, et al. Complication rate of transrectal ultrasound guided prostate biopsy: a comparison among 3 protocols with 6, 10 and 15 cores. J Urol, 2004, 171:1478-1480.
  • 4芦志华,朱生才,朱刚,马宏,万奔,王建业.经会阴和经直肠途径前列腺穿刺活检并发症的比较分析[J].临床泌尿外科杂志,2008,23(5):362-364. 被引量:41
  • 5王文营,邵强,杜林栋.超声引导前列腺12针系统穿刺活检术[J].中华泌尿外科杂志,2005,26(4):270-273. 被引量:23

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