两种肠道准备方法预防前列腺穿刺活检术后并发症效果比较  

Comparation the effects of two bowel preparation methods in preventing the complications of prostate biopsy

作　　者：迟易欣[1] 唐喆[1] 关升[1] 

机构地区：[1]大连医科大学附属第二医院泌尿外科,辽宁大连116027

出　　处：《大连医科大学学报》2011年第3期288-290,共3页Journal of Dalian Medical University

摘　　要：[目的]探讨两种肠道准备方法对前列腺穿刺活检术后并发症发生率的影响。[方法]将2008年12月~2010年10月疑前列腺癌并行穿刺活检患者98例分为A、B两组。A组（n=55）术前不行灌肠,术前夜口服导泻剂;B组（n=43）术前夜口服导泻剂,术晨灌肠。两组患者术前2~3 d均行常规肠道准备、口服抗感染药物,术前晚禁食。[结果]A组患者中35例出现并发症（63.6%）,发热（T〉38℃）伴寒战2例（3.6%）;B组43例患者中29例出现并发症（67.4%）,发热2例（4.7%）,出现寒战者1例（2.3%）。[结论]术前灌肠可能不会减少前列腺活检患者术后并发症发生率。[Objective] To investigate the effects of two different bowel preparation methods in the prevention of the complications following prostate biopsy.[ Methods] All of 98 patients with suspected prostate cancer were divided into A and B groups.All patients received routine bowel preparation for 2~3 days,took oral antibiotics,began fasting after 8 the night before.The patients in group A received oral cathartic agent but not enema,while those in group B received oral cathartic agent and routine cleansing enema in the morning before biopsy.[Results] In group A,63.6% patients（35 of 55） had complications,including 2 patients with fever（T38 ℃） and chill（3.6%）;in group B,67.4% patients（29 of 43） had complications,including 2 patients with fever（4.7%）,one of them expressing chill（2.3%）.[Conclusion] The prebiopsy enemas might not decrease overall rates of complication in patients with prostate biopsy.

关 键 词：前列腺穿刺活检 灌肠 并发症 感染 

分 类 号：R737.25[医药卫生—肿瘤]