经直肠和会阴两种前列腺穿刺活检方法的临床研究  

Clinical study on two testing methods of transrectal and transperineal prostate biopsies

作　　者：郑慧杰[1] 熊海云 曾小明[1] 余明主[1] 谭公祥[1] 陈亚梅[1] 周刚标[1] ZHENG Huijie;XIONG Haiyun;ZENG Xiaoming;YU Mingzhu;TAN Gongxiang;CHEN Yamei;ZHOU Gangbiao(Department of Urology,The 94th Hospital of PLA,Nanchang,Jiangxi 330002,China;Department of Urology,The 7th Affiliated Hospital,Sun Yat sen University,Shenzhen,Guangdong 518107,China)

机构地区：[1]中国人民解放军第九四医院泌尿外科,江西南昌330002 [2]中山大学附属第七医院泌尿外科,广东深圳518107

出　　处：《安徽医药》2017年第12期2204-2207,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的比较直肠超声引导下经直肠和经会阴前列腺穿刺活检的并发症发生率。方法对101例直肠超声引导下经直肠和经会阴前列腺穿刺患者的临床资料进行分析比较。结果术中VAS疼痛评分经直肠穿刺组为(3.43±1.34)分,低于会阴前列腺穿刺组的(5.25±1.70)分,差异有统计学意义(P=0.000);经直肠穿刺组术后发热及直肠出血例数高于经会阴穿刺组,差异有统计学意义(P<0.05),而两组在肉眼血尿、泌尿生殖系感染、排尿困难/尿潴留等发生率方面差异无统计学意义(P>0.05)。结论经会阴前列腺穿刺较经直肠穿刺疼痛程度较重,但术后发热、直肠出血等并发症较少。Objective To compare the complication rates of transrectal prostate biopsy and transperineal prostate biopsy.Methods The clinical data of101patients with transrectal and transperineal prostate biopsy were analyzed in Department of Urology,the94th Hospital of PLA.Results Pain score(VAS)during transperineal prostate biopsy was higher than transrectal prostate biopsy[(3.43±1.34)vs(5.25±1.70),P=0.000].The risks of fever and rectal bleeding were higher for transrectal prostate biopsy compared to transperineal prostate biopsy(P<0.05).There were no statistical differences between transperineal and transrectal prostate biopsy in macrohematuria,urogenital system infection and dysuria/acute retention(P>0.05).Conclusions Transperineal prostate biopsy is more painful than transrectal prostate biopsy,but it can significantly reduce the risks of fever and rectal bleeding.

关 键 词：前列腺穿刺 活组织检查 并发症 

分 类 号：R737.25[医药卫生—肿瘤]