前列腺包膜局部麻醉在经直肠超声引导前列腺穿刺术中的应用  

Local anesthesia of capsula prostatica for ultrasound guided prostate biopsy

作　　者：王翔[1] 周晓峰[1] 李程[2] 张钊[1] 

机构地区：[1]卫生部中日友好医院泌尿外科,北京100029 [2]卫生部中日友好医院超声诊断科,北京100029

出　　处：《中华泌尿外科杂志》2007年第6期404-406,共3页Chinese Journal of Urology

摘　　要：目的探讨前列腺包膜局部麻醉在经直肠超声引导前列腺穿刺术中的应用价值。方法将需行经直肠前列腺多点穿刺活检的207例患者随机分为2组：A组102例采用1％利多卡因5ml前列腺包膜局部浸润麻醉后再行穿刺活检；B组105例，直接行前列腺多点穿刺活检作为对照组。观察2组患者术中及术后疼痛程度评分（VAS1及VAS2）和不良反应发生率。结果A组102例中无痛感者51例（50．00）、有轻度痛感者46例（45．10）、中度疼痛感者5例，无重度痛感者；VSA1评分（1．5±0．6）分，VSA2评分（0．8±0．9）分。B组105例中无痛感者6例、轻度痛感者69例（65．7％）、中度痛感者18例（26．70）、重度痛感者2例；VSA1评分（3．8±1．3）分，VSA2评分（2．5±1．1）分。2组VAS1及VSA2评分比较，差异均有统计学意义（P〈0．05）。2组患者中术后出现血尿者分别为65例（63．7％）和72例（68．60），出现血便者分别为21例（20．60）和20例（19．0％），出现血精者分别为2例和2例。2组并发症发生率比较差异无统计学意义（P〉0．05）。结论经直肠超声引导下前列腺包膜局部浸润麻醉后穿刺止痛效果好。Objective To evaluate the efficacy of local anesthesia for transrectal ultrasound guided biopsy of the prostate. Methods 207 cases of ultrasound guided prostate biopsy were retrospectively analyzed. 102（A group） of 207 patients were taken ultrasound guided prostate biopsy by local anesthesia. 105 （B group） cases received the directly biopsy of the prostate without local anesthesia. Results There was no significant difference in pathology and complication between two groups. Compared with B group, A group, VAS1 and VSA2 pain scores were lower （1.5±0.6 vs. 3.8±1.3, P〈0.05; 0.8±0.9 vs. 2.5± 1.1, P〈0.05）. Conclusions Local anesthesia for transrectal ultrasound guided biopsy of the prostate could reduce the painfulness for the patients.

关 键 词：前列腺包膜 局部麻醉 经直肠超声 前列腺活检 

分 类 号：R686[医药卫生—骨科学]