直肠超声引导下经会阴前列腺穿刺活检615例并发症分析  

Complications of transperineal prostate biopsy guided by transrectal ultrasound:Analysis of 615 cases

作　　者：王炜[1] 方建华[1] 许亮[1] 王旭亮[2] 孔凡雷[1] 徐陈柯[1] 陈创华[1] 

机构地区：[1]杭州市第一人民医院超声影像科,浙江杭州310006 [2]杭州市第一人民医院泌尿外科,浙江杭州310006

出　　处：《中国介入影像与治疗学》2013年第10期592-594,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨经直肠超声引导下经会阴部前列腺穿刺活检并发症发生的相关因素。方法回顾性分析经直肠超声引导下经会阴前列腺穿刺活检患者615例,分析并发症发生率和相关因素。结果本组615例中,213例(213/615,34.63%)出现并发症,其中肉眼血尿117例(117/213,54.93%),尿路刺激征40例(40/213,18.78%),尿潴留27例(27/213,12.68%),血管迷走神经反射11例(11/213,5.16%),血尿合并血精8例(8/213,3.76%),发热6例(6/213,2.82%),会阴部肿胀伴出血4例(4/213,1.88%)。穿刺针数与并发症发生存在相关性(P=0.007)。结论经直肠超声引导下经会阴前列腺穿刺活检是早期前列腺癌诊断的安全有效的方法。使用16G或18G穿刺针合理穿刺可以有效降低并发症发生率。Objective To investigate the related factors of the complications of transperineal prostate biopsy guided by transrectal ultrasound. Methods A retrospective analysis was performed for 615 patients who underwent transperineal prostate biopsy guided by transrectal ultrasound. The incidence of complications and related factors were analyzed. Results Among 615 patients, complications occurred in 213 （213/615, 34.63%）, including gross hematuria in 117 patients （117/213, 54.93%）, lower urinary tract symptoms in 40 （40/213, 18.78%）, urinary retention in 27 （27/213, 12.68%）, vasovagal reflex in 11 （11/213, 5.16%）, hematuria with hemospermia in 8 （8/213, 3.76G）, and fever in 6 patients （6/ 213, 2.82%）, swelling and bleeding of perineum in 4 patients （4/213, 1.88%）. There was correlation between puncture times and complications （P=0. 007）. Conclusion Transperineal prostate biopsy guided by transrectal ultrasound is a use- ful and safe method for early diagnosis of prostate cancer. Using 16G or 18G needle, reasonable puncture can effectively re- duce the incidence of complications.

关 键 词：超声检查 前列腺 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]