CAJ | 학술논문

目的分析210例接受直肠B超引导经会阴24针前列腺穿刺活检术患者并发症的发生率. 方法收集2010-2012年我院行直肠B超引导经会阴24针前列腺穿刺活检术的210例患者的临床资料.并对其并发症进行回顾性分析. 结果 210例患者穿刺活检术后主要的并发症发生率为镜下血尿43.3％(91/210),血便10.9％(23/210),排尿困难、尿潴留发生率为23.3％ (49/210)和25.2％(53/210),发热(＞38℃)14.8％(31/210)和泌尿系感染21.9％(46/210),血管迷走神经反射1例(0.48％);此外,因穿刺相关的并发症而导致住院治疗的患者5例(2.5％). 结论直肠B超引导经会阴24针前列腺穿刺活检术是相对安全高效的穿刺方法,轻微并发症常见,严重并发症少见,对其并发症应引起足够的重视.
목적 분석210례접수직장B초인도경회음24침전렬선천자활검술환자병발증적발생솔. 방법 수집2010-2012년아원행직장B초인도경회음24침전렬선천자활검술적210례환자적림상자료.병대기병발증진행회고성분석. 결과 210례환자천자활검술후주요적병발증발생솔위경하혈뇨43.3％(91/210),혈편10.9％(23/210),배뇨곤난、뇨저류발생솔위23.3％ (49/210)화25.2％(53/210),발열(＞38℃)14.8％(31/210)화비뇨계감염21.9％(46/210),혈관미주신경반사1례(0.48％);차외,인천자상관적병발증이도치주원치료적환자5례(2.5％). 결론 직장B초인도경회음24침전렬선천자활검술시상대안전고효적천자방법,경미병발증상견,엄중병발증소견,대기병발증응인기족구적중시.
Objective To analyze the complication rates in 210 patients undergoing transrectal ultrasound-guided 24-core transperineal prostate biopsy.Methods Clinical data of 210 patients who underwent transrectal ultrasound-guided 24-core transperineal prostate biopsy from 2010 to 2012 were collected.A retrospective analysis of complications after prostate biopsy was conducted.Results The main postoperative complications were hematuria,bloody stool,dysuria,urinary retention,fever (＞38℃),urinary infection,vasovagal syncope,and their complication rates were 43.3 ％ (91/210),10.9％ (23/210),23.3％ (49/210),25.2％ (53/210),14.8％ (31/210),21.9％ (46/210),0.48％ (1/210) respectively.In addition,5 patients (2.5％) were hospitalized due to biopsy related complications.Conclusions Transrectal ultrasound guided 24-core transperineal prostate biopsy is an relatively safe and effective puncture method with common minor complications and less severe complications.Adequate attentions should be paid to its complications.