前列腺经直肠和经会阴穿刺活检术对前列腺癌的诊断价值对比  

Comparison of the diagnostic value of transrectal and transperineal biopsy of prostate for prostate cancer

作　　者：李健 黄以顺 周辉 郝宝金 LI Jian;HUANG Yishun;ZHOU Hui;HAO Baojin(Department of Urinary Surgery,Jinhu County People's Hospital,Huaian,Jiangsu,211600,China;Department of Urinary Surgery,Hongze District People's Hospital,Huaian,Jiangsu,223100,China)

机构地区：[1]金湖县人民医院泌尿外科,江苏淮安211600 [2]淮安市洪泽区人民医院泌尿外科,江苏淮安223100

出　　处：《当代医学》2021年第13期32-34,共3页Contemporary Medicine

摘　　要：目的分析前列腺经直肠和经会阴穿刺活检术对前列腺癌的诊断价值。方法选取2016年12月至2020年7月本院泌尿外科收治的65例可疑前列腺癌患者作为研究对象,按照穿刺方法进行分组,经会阴穿刺为会阴穿刺组(n=26),经直肠穿刺为直肠穿刺组(n=39),比较两种穿刺方法的穿刺阳性率和并发症发生率。结果病理结果显示,两组患者前列腺癌、前列腺增生、前列腺结核及慢性前列腺炎检测率比较差异无统计学意义。两组前列腺癌检出率比较差异无统计学意义。两组患者术后均出现疼痛、发热、血尿、血便和尿潴留,会阴穿刺组患者术后发热发生率均低于直肠穿刺组(P<0.05),两组术后并发疼痛、血尿发生率比较差异无统计学意义。结论两种穿刺方法的穿刺前列腺癌检出率差异不明显,但经会阴前列腺穿刺术并发症优于经直肠前列腺穿刺术。Objective To analyze the diagnostic value of transrectal and transperineal biopsy of prostate for prostate cancer.Methods 65 suspected prostate cancer patients who were admitted to the Department of Urology in our hospital from February 2016 to July 2020 were selected as the research subjects.They were grouped according to the puncture method and transperineal puncture recorded as the perineal puncture group(n=26),transrectal puncture was recorded as rectal puncture group(n=39),the positive rate of puncture and the incidence of complications between the two puncture methods were compared.Results Pathological results showed that there was no significant difference in prostate cancer,benign prostatic hyperplasia,prostatic tuberculosis and chronic prostatitis between the two groups.There was no significant difference in the detection rate of prostate cancer between the two groups.Postoperative pain,fever,hematuria,bloody stool and urinary retention were found in two groups.The incidence of postoperative fever in the perineal puncture group was lower than those in the rectal puncture group(P<0.05).There was no significant difference in postoperative pain and hematuria between the two groups.Conclusion The two puncture methods have little difference in the detection rate of prostate cancer.Considering the complications,transperineal prostatic puncture is better than transrectal prostatic puncture.

关 键 词：直肠穿刺 会阴穿刺 活检术 前列腺癌 价值分析 

分 类 号：R737.25[医药卫生—肿瘤]