前列腺穿刺术后感染并发症分析总结  

Analysis and summary about infectious complications after prostate biopsyy

作　　者：余陈波 高祥勋[1] 陈梓甫[1] 何延瑜[1] 张延榕[1] 叶烈夫[1] 黄世清[1] 黄超[1] 徐琼[1] 

机构地区：[1]福建省立医院泌尿外科,福州350001

出　　处：《创伤与急诊电子杂志》2016年第2期95-97,共3页Journal of Trauma and Emergency(Electronic Version)

摘　　要：目的探讨前列腺穿刺术感染并发症发生和预防。方法调阅2012年8月10日至2015年8月10日本院前列腺穿刺活检患者481例临床资料,统计前列腺穿刺术后发热、抗生素使用及患者预后情况;并同国内外某些同级医院前列腺穿刺术后感染发生率比较。结果穿刺后感染26例,占总例数5.4%。9例发生菌血症,占总例数1.87%,其中7例血培养革兰阴性菌,2例血培养肺炎克雷伯菌。3例发生感染性休克,其中1例感染性休克伴有心肺骤停,占总例数0.208%。结论前列腺穿刺存在感染风险。严格掌握穿刺适应证,加强穿刺术中无菌操作,穿刺前后适当使用抗生素有助于降低感染发生率。对严重感染患者及时升级抗生素控制感染,以避免严重并发症发生。Objective To investigate the post-prostate biopsy infectious complications and prevention.Method 481 cases of patients with prostate biopsy admitted in Fujian Provincial Hospital from August 10,2012 to August 10, 2015 were analysed. Statistics of fever, antibiotic use, and patients＇ prognosis after prostate biopsy were collected, and compared with those in some domestic and foreign hospitals at the same level.Result 26 cases of infection （5.4%） and 9 cases of bacteremia（1.87%）occurred after puncture. Among them,7 cases of gram-negative bacteria and 2 cases of klebsiella pneumoniae were identified in blood culture; 3 cases of patients are diagnosed with septic shock including 1 case of patients with septic shock associated with cardiopulmonary arrest accounting for 0.208% of the total cases.Conclusion Prostate biopsy would be accompanied with infection risks. Strict grasp of prostate biopsy indications, operating in a sterile environment, and appropriate use of antibiotics will help decrease the infection rate before and after the biopsy. Timely upgrade of antibiotics in patients can control infection and avoid severe complications.

关 键 词：前列腺穿刺 感染 菌血症 感染性休克 

分 类 号：R737.25[医药卫生—肿瘤]