经直肠超声引导下前列腺穿刺活检术的临床意义  

The clinical effection of sacral anesthesia during transrectal ultrasound guided prostate biopsy

作　　者：区向新[1] 吴国定[1] 利庆文[1] 刘春晓[2] 

机构地区：[1]广东省江门市新会人民医院泌尿外科,529100 [2]广东省广州珠江医院泌尿外科,510282

出　　处：《中华腔镜泌尿外科杂志（电子版）》2008年第4期31-33,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨经直肠超声引导下前列腺穿刺活检术的临床意义。方法对60例PSA>4ng/ml、直肠指检异常或超声发现异常回声的患者采用前列腺穿刺活检术,其中30例患者采用骶管内麻醉下经直肠超声引导前列腺穿刺活检术,年龄45～86岁,平均68±3.6岁,PSA<4ng/ml为4例,4～10ng/ml为10例,>10ng/ml为16例。对照组30例,年龄50～84岁,平均70±3.5岁,PSA<4ng/ml为3例,4～10ng/ml为9例,>10ng/ml为18例。对照组采用直肠指检压迫下穿刺或表面麻醉下行经直肠超声引导下穿刺活检。结果骶管内麻醉组阳性率为60%(18/30),患者术中无疼痛表现,对照组阳性率为33%(10/30),患者在术中伴有不同程度的疼痛。结论与常规穿刺相比,骶麻下经直肠超声引导下前列腺穿刺活检术准确性高,疼痛较轻,更能被患者接受,值得临床推广使用。Objective To evaluate the clinical efficacy of sacral anesthesia during transrectal ultrasound guided prostate biopsy. Methods 60 patients with prostate specific antigen （PSA）〉4 ng/ml and abnormal digital rectal examination or abnomal node checked by ultrasound were divided into two groups, treatment group （undertaking sacral anesthesia）and control group was 30 case. Results positive rate of the prostate biopsy specimen of sacral anesthesia group was 60% and the control group was 33%. Painlessness can be seen in treatment group. Conclusions Positive rate of transrectal ultrasound guided prostate biopsy increased under sacral anesthesia, and can be accepted by patients easily.

关 键 词：骶管内麻醉 经直肠 前列腺 活检 

分 类 号：R737.25[医药卫生—肿瘤]