经直肠超声引导穿刺硬化与注药治疗前列腺囊肿的疗效对比  

Comparison of transrectal ultrasonography guided percutaneous sclerosing and drug-injection for prostatic cysts

作　　者：白建宁[1] 郭莉[1] 张大勇[1] 单西云[1] 周璇奕[1] 李建文[1] 李建益[1] 郭亮[1] 麦海浪[1] 钱毅[1] 

机构地区：[1]西双版纳州人民医院超声科,云南西双版纳666100

出　　处：《中国介入影像与治疗学》2010年第3期240-242,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨经直肠超声引导穿刺硬化与注药治疗前列腺囊肿的疗效及临床应用价值。方法将28例前列腺囊肿患者平均分为2组,分别进行经直肠超声引导穿刺硬化治疗(硬化组)和注药治疗(注药组)。比较两组的一次穿刺有效率及18个月后的复发率。结果硬化组12例患者一次穿刺硬化治疗后囊肿显著减小,症状消失,一次硬化治疗有效率为85.71%(12/14);注药组11例一次穿刺注药治疗后囊肿显著减小,症状消失,一次注药治疗有效率为78.57%(11/14),两组一次穿刺治疗有效率差异无统计学意义(P=0.648)。随访18个月,硬化组1例(7.14%,1/14)复发,注药组4例(28.57%,4/14)复发,两组复发率差异无统计学意义(P=0.328)。结论经直肠超声引导穿刺前列腺囊肿准确可靠,硬化治疗与注药治疗均具有较高的临床应用价值。Objective To evaluate the effect and value of transrectal ultrasonography guided percutaneous sclerosing and drug-injection for prostatic cysts.Methods Twenty-eight patients with prostatic cysts were divided into 2 groups evenly and received percutaneous sclerosis therapy（sclerosis group） and drug-injection therapy（drug-injection group）,respectively,under the guidance of transrectal ultrasonography.Effective rate of the first therapy and the 18-month reoccurrence rate were compared between the two groups.Results Prostatic cysts decreased obviously and the symptoms disappeared in 12 patients（12/14,85.71%） in sclerosis group,and in 11 patients（11/14,78.57%） in drug-injection group.The 18-month reoccurrence rate was 7.14% in sclerosis group and 28.57% in drug-injection group.No statistical difference of the first therapy（P=0.648） and the 18-month reoccurrence rate（P=0.328） was found between two groups.Conclusion Transrectal ultrasonography guided percutaneous sclerosing and drug-injection are both accurate,valuable and reliable for the treatment of prostatic cyst.

关 键 词：超声检查 介入性 前列腺 囊肿 

分 类 号：R697.3[医药卫生—泌尿科学]