三平面长针四点定位麻醉下经会阴前列腺穿刺效果初探  

Study on perineal prostatic puncture under three-plane long needle and four-point location anesthesia

作　　者：王红[1] 马继霞 刘芳[1] 高媚 杨林青 何民心 种铁[1] 薛力[1] Wang Hong;Ma Jixia;Liu Fang;Gao Mei;Yang Linqing;He Minxin;Chong Tie;Xue Li(Department of Urology,the Second Affiliated Hospital of Xi Jiaotong University,Xihn 710004,China)

机构地区：[1]西安交通大学第二附属医院泌尿外科,西安710004

出　　处：《国际泌尿系统杂志》2022年第4期617-620,共4页International Journal of Urology and Nephrology

基　　金：西安市科技计划项目(2019114613YX001SF040)。

摘　　要：目的探索三平面长针四点定位麻醉下经会阴前列腺穿刺的效果.方法回顾性分析2019年8月至2020年8月本院收治的60例经会阴穿刺患者的临床资料.选取其中B超引导下长针四点定位麻醉下前列腺穿刺患者30例设为试验组,短针麻醉下穿刺患者30例设为对照组.分别对两组患者的术中疼痛、穿刺阳性率、术后并发症、术后会阴部肿胀不适情况进行比较.结果试验组患者的疼痛评分低于对照组,差异有统计学意义(P<0.05);试验组和对照组经会阴前列腺穿刺活检的肿瘤阳性率分别为46.7%(14/30)和43.3%(13/30),两组差异无统计学意义(P>0.05);两组总并发症发生率比较,差异无统计学意义(23.3%vs.26.7%,P>0.05).穿刺24 h后,试验组患者的疼痛与肿胀发生率分别为13.3%(4/30)、86.7(26/30),对照组患者的疼痛与肿胀发生率分别为10.0%(3/30)、90.0(27/30),两组差异无统计学意义(P>0.05).结论三平面长针四点定位麻醉能明显提升经会阴前列腺穿刺活检及其他前列腺介入手术的耐受性,易操作,费用低,值得临床进一步推广.Objective To explore the effect of transperineal prostatic puncture under three-plane long-needle four-point positioning anesthesia.Methods From August 2019 to August 2020,clinical data of 60 patients with perineal puncture admitted to our hospital were retrospectively analysed.Thirty patients with long needle four-point positioning anesthesia under B-ultrasound-guided prostate puncture were selected as the experimental group,and 30 patients with short needle anesthesia were selected as the control group.The intraoperative pain,positive rate of puncture,postoperative complications and postoperative perineal swelling and discomfort were compared between the two groups.Results The pain score of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).The positive rate of perineal prostate biopsy was 46.7%(14/30)in the experimental group and 43.3%(13/30)in the control group,and there was no significant difference between the two groups(P>0.05).There was no significant difference in the incidence of total complications between the two groups(23.3%vs.26.7%,P>0.05).Twenty-four hours after puncture,the incidence of pain,pain and swelling in the experimental group was 13.3%(4/30)and 86.7(26/30),respectively,while that in the control group was 10.0%(3/30)and 90.0(27/30),respectively,there was no statistical significance between the two groups(P>0.05).Conclusions Three-plane long needle four-point positioning anesthesia can significantly improve transperineal prostate biopsy and other prostates Interventional surgery is tolerable,easy to operate,and low cost,and it is worthy of further clinical promotion.

关 键 词：活组织检查 针吸 前列腺 会阴 麻醉药 局部 

分 类 号：R614[医药卫生—麻醉学]