中华腔镜泌尿外科杂志（电子版）
中華腔鏡泌尿外科雜誌（電子版）
중화강경비뇨외과잡지（전자판）
CHINESE JOURNAL OF ENDOUROLOGY(ELECTRONIC VERSION)
2008年
4期
31-33
,共3页
区向新%吴国定%利庆文%刘春晓
區嚮新%吳國定%利慶文%劉春曉
구향신%오국정%리경문%류춘효
骶管内麻醉%经直肠%前列腺%活检
骶管內痳醉%經直腸%前列腺%活檢
저관내마취%경직장%전렬선%활검
目的 探讨经直肠超声引导下前列腺穿刺活检术的临床意义.方法 对60例PSA＞4 ng/ml、直肠指检异常或超声发现异常回声的患者采用前列腺穿刺活检术,其中30例患者采用骶管内麻醉下经直肠超声引导前列腺穿刺活检术,年龄45～86岁,平均68±3.6岁,PSA＜4 ng/ml为4例,4～10 ng/ml为10例,＞10 ng/ml为16例.对照组30例,年龄50～84岁,平均70±3.5岁,PSA＜4 ng/ml为3例,4～10 ng/ml为9例,＞10 ng/ml为18例.对照组采用直肠指检压迫下穿刺或表面麻醉下行经直肠超声引导下穿刺活检.结果 骶管内麻醉组阳性率为60%(18/30),患者术中无疼痛表现,对照组阳性率为33%(10/30),患者在术中伴有不同程度的疼痛.结论 与常规穿刺相比,骶麻下经直肠超声引导下前列腺穿刺活检术准确性高,疼痛较轻,更能被患者接受,值得临床推广使用.
目的 探討經直腸超聲引導下前列腺穿刺活檢術的臨床意義.方法 對60例PSA＞4 ng/ml、直腸指檢異常或超聲髮現異常迴聲的患者採用前列腺穿刺活檢術,其中30例患者採用骶管內痳醉下經直腸超聲引導前列腺穿刺活檢術,年齡45～86歲,平均68±3.6歲,PSA＜4 ng/ml為4例,4～10 ng/ml為10例,＞10 ng/ml為16例.對照組30例,年齡50～84歲,平均70±3.5歲,PSA＜4 ng/ml為3例,4～10 ng/ml為9例,＞10 ng/ml為18例.對照組採用直腸指檢壓迫下穿刺或錶麵痳醉下行經直腸超聲引導下穿刺活檢.結果 骶管內痳醉組暘性率為60%(18/30),患者術中無疼痛錶現,對照組暘性率為33%(10/30),患者在術中伴有不同程度的疼痛.結論 與常規穿刺相比,骶痳下經直腸超聲引導下前列腺穿刺活檢術準確性高,疼痛較輕,更能被患者接受,值得臨床推廣使用.
목적 탐토경직장초성인도하전렬선천자활검술적림상의의.방법 대60례PSA＞4 ng/ml、직장지검이상혹초성발현이상회성적환자채용전렬선천자활검술,기중30례환자채용저관내마취하경직장초성인도전렬선천자활검술,년령45～86세,평균68±3.6세,PSA＜4 ng/ml위4례,4～10 ng/ml위10례,＞10 ng/ml위16례.대조조30례,년령50～84세,평균70±3.5세,PSA＜4 ng/ml위3례,4～10 ng/ml위9례,＞10 ng/ml위18례.대조조채용직장지검압박하천자혹표면마취하행경직장초성인도하천자활검.결과 저관내마취조양성솔위60%(18/30),환자술중무동통표현,대조조양성솔위33%(10/30),환자재술중반유불동정도적동통.결론 여상규천자상비,저마하경직장초성인도하전렬선천자활검술준학성고,동통교경,경능피환자접수,치득림상추엄사용.
Objective To evaluate the clinical efficacy of sacral anesthesia during transrectal ultrasound guided prostate biopsy. Methods 60 patients with prostate specific antigen(PSA)＞4 ng/ml and abnormal digital rectal examination or abnomal node checked by ultrasound were divided into two groups, treatment group(undertaking sacral anesthesia)and control group was 30 case. Results positive rate of the prostate biopsy specimen of sacral anesthesia group was 60% and the control group was 33%. Painlessness can be seen in treatment group. Conclusions Positive rate of transrectal ultrasound guided prostate biopsy increased under sacral anesthesia, and can be accepted by patients easily.
