持续小剂量口服阿司匹林对经直肠超声引导下前列腺穿刺活检术后出血并发症的影响  

Impact of continuous taking low-dose Aspirin on bleeding complications after transrectal ultrasound-guided biopsy of the prostate

作　　者：王英俊[1] 李大文[2] 张唯力[1] 林艳君[1] 王高能[1] 张荣秋[1] 张荣贵[1] 

机构地区：[1]重庆医科大学附属第二医院泌尿外科,重庆400010 [2]广西壮族自治区人民医院遗传与生殖中心,广西南宁530022

出　　处：《中国介入影像与治疗学》2012年第1期26-28,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察持续小剂量口服阿司匹林是否对经直肠超声引导下前列腺穿刺活检术后出血等并发症产生影响。方法回顾性分析术前长期(服用时间超过3个月)口服小剂量阿司匹林的96例前列腺穿刺活检患者(阿司匹林组)及同期手术的104例穿刺前1周未服用阿司匹林或其他抗凝药物患者(对照组)的资料,对比两组主要出血并发症发生率和出血持续时间。结果两组术后均无严重出血。两组在术后血尿、直肠出血、血精发生率上差异均无统计学意义(P均>0.05),但出血持续时间差异有统计学意义(P<0.01)。结论持续小剂量口服阿司匹林对经直肠超声引导下前列腺穿刺活检术后出血的发生率和严重程度影响较小,但对出血持续时间影响较大。Objective To observe the impact of continuous taking low-dose Aspirin on bleeding complications after transrectal ultrasound （TRUS）-guided biopsy of the prostate. Methods Ninety-six patients taking Aspirin longer than 3 months and 104 patients not taking Aspirin over 1 week before prostate biopsy were analyzed. The incidence of bleeding complications and duration of bleeding were compared between two groups. Results Severe postoperative bleeding was not found in the two groups. No significant difference for hematuria, rectal bleeding or hematospermia after TRUS-guided bi- opsy of the prostate was found （all P〉0.05）, but the duration of bleeding was statistically different between the two groups （P〈0.01）. Conclusion Continuous taking of low-dose Aspirin does not increase the incidence of mild bleeding complications, although it prolongs the duration of self-limiting hematuria and rectal bleeding after TRUS-guided biopsy of the prostate.

关 键 词：超声检查 阿司匹林 前列腺疾病 活组织检查 并发症 

分 类 号：R697.3[医药卫生—泌尿科学] R445.1[医药卫生—外科学]