CAJ | 학술논문

目的：研究降低经直肠前列腺穿刺活检术后感染的方法。方法2010年5月~2013年3月收我院108例行经直肠前列腺穿刺活检术的患者，随机分成3组，A 组行常规经直肠前列腺穿刺活检术，B 组在经直肠前列腺穿刺活检术前用碘伏纱布块填塞直肠至术后6 h，C 组方法与 B 组相同但碘伏纱布块填塞直肠至术后12 h，比较3组术后感染率。结果 B 组（8.3％）和 C 组（5.6％）术后感染率无显著差异，但较 A 组（19.4％）明显降低（P ﹤0.05）。结论经直肠前列腺穿刺活检术前，用碘伏纱布块填塞直肠至术后6 h，可明显减少术后感染的发生率。
목적：연구강저경직장전렬선천자활검술후감염적방법。방법2010년5월~2013년3월수아원108례행경직장전렬선천자활검술적환자，수궤분성3조，A 조행상규경직장전렬선천자활검술，B 조재경직장전렬선천자활검술전용전복사포괴전새직장지술후6 h，C 조방법여 B 조상동단전복사포괴전새직장지술후12 h，비교3조술후감염솔。결과 B 조（8.3％）화 C 조（5.6％）술후감염솔무현저차이，단교 A 조（19.4％）명현강저（P ﹤0.05）。결론경직장전렬선천자활검술전，용전복사포괴전새직장지술후6 h，가명현감소술후감염적발생솔。
Objective To study the value of iodophors gauze in prevention of postoperative infection caused by transrectal ultrasound(TRUS)guided prostate biopsy. Methods 108 patients receiving TRUS guided prostate biopsy from May 2010 to March 2013 in our hospital were divided randomly into three groups. Group A received only common cleansing enema before TRUS guided prostate biopsy. After common cleansing enema,the rectum of patients was plugged with iodophors gauze pieces for 6 h in group B and for 12 h in group C before TRUS guided prostate biopsy. The incidence of postoperative infection was compared among three groups. Results The incidences of postoperative infection of group B(8. 3% )and group C(5. 6% )were significant lower than that of group A (9. 4% )(P ﹤ 0. 05),while there was not significant difference of the incidences between group B and group C( P ﹥ 0. 05). Conclusions Before TRUS guided prostate biopsy,the iodophors gauze pieces are used to plug the rectum of patients for 6 h and can obviously reduce the incidences of postoperative infection.