CAJ | 학술논문

目的探讨经直肠直视下前列腺穿刺活检方法的可行性。方法采用改良的俯卧位前列腺直视下穿刺方法行经直肠前列腺穿刺活检56例。利用庤上黏膜环形缝扎器(PPH)套件中的部分组件，即环形肛管扩张器及镜芯、肛镜缝扎器以协助显露直肠段前列腺。结果经直肠直视下前列腺穿刺活检方法可直视穿刺，穿刺深度和方向易控制。针刺布局规范，患者体位舒适，耐受适应好。无严重并发症发生。穿刺效果良好。结论经直肠直视下俯卧位前列腺穿刺活检方法简便，穿刺准确，值得推广。
목적탐토경직장직시하전렬선천자활검방법적가행성。방법채용개량적부와위전렬선직시하천자방법행경직장전렬선천자활검56례。이용치상점막배형봉찰기(PPH)투건중적부분조건，즉배형항관확장기급경심、항경봉찰기이협조현로직장단전렬선。결과경직장직시하전렬선천자활검방법가직시천자，천자심도화방향역공제。침자포국규범，환자체위서괄，내수괄응호。무엄중병발증발생。천자효과량호。결론경직장직시하부와위전렬선천자활검방법간편，천자준학，치득추엄。
Objective To evaluate the feasibility of prostate biopsy under direct vision. Methods 56 patients recieved transrectal prostate biopsy under direct vision with a modified prone position.We used dilator and anal mirror suture device (parts of the PPH kit)to help revealing the prostate. Results Transrectal prostate biopsy under direct vision could achieve a very good view of prostate and made puncture easier by controlling the depth and direction.The puncture located well. The patient's position was comfortable.The procedure were well tolerated in all patients.No serious complications occurred. Conclusions Transrectal prostate biopsy under direct vision with a modi-fied prone position is simple and accurate.It might be generalized in the future.