直肠B超引导下经会阴24针前列腺穿刺活检术的并发症分析  

Analysis of postoperative complications after transrectal ultrasound-guided 24-core transperineal prostate biopsy

作　　者：陈思阳[1] 杜源[1] 邵强[1] 杜林栋[1] 田野[1] 

机构地区：[1]首都医科大学附属北京友谊医院泌尿外科,100050

出　　处：《中华老年医学杂志》2013年第12期1337-1338,共2页Chinese Journal of Geriatrics

摘　　要：目的分析210例接受直肠B超引导经会阴24针前列腺穿刺活检术患者并发症的发生率。方法收集2010--2012年我院行直肠B超引导经会阴24针前列腺穿刺活检术的210例患者的临床资料，并对其并发症进行回顾性分析。结果210例患者穿刺活检术后主要的并发症发生率为镜下血尿43．3％（91／210），血 便10．9％（23／210），排尿困难、尿潴留发生率为23．3％（49／210）和25．2％（53／210），发热（〉38℃）14．8％（31／210）和泌尿系感染21．9％（46／210），血管迷走神经反射1例（o．48％）；此外，因穿刺相关的并发症而导致住院治疗的患者5例（2．5％）。结论直肠B超引导经会阴24针前列腺穿刺活检术是相对安全高效的穿刺方法，轻微并发症常见，严重并发症少见，对其并发症应引起足够的重视。Objective 10 analyze the complmatlon rates in 210 patients unaergomg transrectat ultrasound-guided 24-core transperineal prostate biopsy. Methods Clinical data of 210 patients who underwent transreetal ultrasound-guided 24-core transperineal prostate biopsy from 2010 to 2012 were collected. A retrospective analysis of complications after prostate biopsy was conducted. Results The main postoperative complications were hematuria, bloody stool, dysuria, urinary retention, fever （~38~C）, urinary infection, vasovagal syncope, and their complication rates were 43.3% （91/210）, 10.9~ （23/210）,23.3~ （49/210）, 25.2% （53/210）, 14.8~/oo （31/210）, 21.9~/oo （46/210）, O. 48~ （1/210） respectively. In addition, 5 patients （2.5~） were hospitalized due to Biopsy related complications. Conclusions Transrectal ultrasound-guided 24-core transperineal prostate biopsy is an relatively safe and effective puncture method with common minor complications and less severe complications. Adequate attentions should be paid to its complications.

关 键 词：前列腺肿瘤 活组织检查 针吸 

分 类 号：R737.25[医药卫生—肿瘤]