中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2014年
12期
917-920
,共4页
丁雪飞%周广臣%顾晓%卢圣铭%姚浩%凡兰桂%孙建萍
丁雪飛%週廣臣%顧曉%盧聖銘%姚浩%凡蘭桂%孫建萍
정설비%주엄신%고효%로골명%요호%범란계%손건평
前列腺%活检%麻醉%周围神经阻滞
前列腺%活檢%痳醉%週圍神經阻滯
전렬선%활검%마취%주위신경조체
Prostate%Biopsy%Analgesia%Periprostatic nerve block
目的 探讨超声引导下前列腺周围神经阻滞麻醉应用于前列腺穿刺活检中的麻醉效果. 方法 回顾性分析2010年7月至2013年12月我院223例前列腺穿刺活检患者.分为两组,神经阻滞组116例,会阴区皮肤局部麻醉后再行直肠超声引导下前列腺包膜局部麻醉加前列腺神经阻滞麻醉;局麻组107例,单纯会阴区皮肤加前列腺包膜局部麻醉.两组麻醉成功后行经会阴前列腺穿刺活检术.记录穿刺后即刻视觉模拟疼痛评分(visual analogue scale,VAS),同时记录并发症情况.结果 两组间年龄、穿刺前血清PSA水平、前列腺体积及穿刺针数比较差异均无统计学意义(P＞0.05).神经阻滞组VAS评分0～7,平均2.3±1.1;局麻组VAS评分0～10,平均4.9±2.3.两组之间比较差异有统计学意义(P＜0.05).神经阻滞组术后发生肉眼血尿37.1％ (43/116)、血精3.4％(4/116)、尿潴留1.7％ (2/116),局麻组分别为39.3％(42/107)、4.7％(5/107)和1.9％ (2/107),组间比较差异均无统计学意义(P＞0.05). 结论 超声引导下前列腺周围神经阻滞麻醉在行经会阴前列腺穿刺活检患者中具有止痛效果好、安全的优点.
目的 探討超聲引導下前列腺週圍神經阻滯痳醉應用于前列腺穿刺活檢中的痳醉效果. 方法 迴顧性分析2010年7月至2013年12月我院223例前列腺穿刺活檢患者.分為兩組,神經阻滯組116例,會陰區皮膚跼部痳醉後再行直腸超聲引導下前列腺包膜跼部痳醉加前列腺神經阻滯痳醉;跼痳組107例,單純會陰區皮膚加前列腺包膜跼部痳醉.兩組痳醉成功後行經會陰前列腺穿刺活檢術.記錄穿刺後即刻視覺模擬疼痛評分(visual analogue scale,VAS),同時記錄併髮癥情況.結果 兩組間年齡、穿刺前血清PSA水平、前列腺體積及穿刺針數比較差異均無統計學意義(P＞0.05).神經阻滯組VAS評分0～7,平均2.3±1.1;跼痳組VAS評分0～10,平均4.9±2.3.兩組之間比較差異有統計學意義(P＜0.05).神經阻滯組術後髮生肉眼血尿37.1％ (43/116)、血精3.4％(4/116)、尿潴留1.7％ (2/116),跼痳組分彆為39.3％(42/107)、4.7％(5/107)和1.9％ (2/107),組間比較差異均無統計學意義(P＞0.05). 結論 超聲引導下前列腺週圍神經阻滯痳醉在行經會陰前列腺穿刺活檢患者中具有止痛效果好、安全的優點.
목적 탐토초성인도하전렬선주위신경조체마취응용우전렬선천자활검중적마취효과. 방법 회고성분석2010년7월지2013년12월아원223례전렬선천자활검환자.분위량조,신경조체조116례,회음구피부국부마취후재행직장초성인도하전렬선포막국부마취가전렬선신경조체마취;국마조107례,단순회음구피부가전렬선포막국부마취.량조마취성공후행경회음전렬선천자활검술.기록천자후즉각시각모의동통평분(visual analogue scale,VAS),동시기록병발증정황.결과 량조간년령、천자전혈청PSA수평、전렬선체적급천자침수비교차이균무통계학의의(P＞0.05).신경조체조VAS평분0～7,평균2.3±1.1;국마조VAS평분0～10,평균4.9±2.3.량조지간비교차이유통계학의의(P＜0.05).신경조체조술후발생육안혈뇨37.1％ (43/116)、혈정3.4％(4/116)、뇨저류1.7％ (2/116),국마조분별위39.3％(42/107)、4.7％(5/107)화1.9％ (2/107),조간비교차이균무통계학의의(P＞0.05). 결론 초성인도하전렬선주위신경조체마취재행경회음전렬선천자활검환자중구유지통효과호、안전적우점.
Objective To evaluate the anestheisa efficacy of periprostatic nerve block in transrectal ultrasound (TRUS) guided biopsy of the prostate.Methods A total of 223 patients received prostate biopsy in our hospital from July 2010 to December 2013 were retrospectively studied,and were divided randomly into two groups.One hundred and sixteen cases in nerve block group accepted local anesthesia of prostate capsule and periprostatic nerve block after local perineal skin anesthetia,and 107 cases in local anesthesia group only accepted local perineal skin anesthetia and local anesthesia of prostate capsule.Patients in the 2 groups underwent prostate biopsy successfully.The visual analogue scale (VAS) and complications were recorded.Results The age,serum PSA level before biopsy,prostate volume and the number of puncture needles had no significant differences between the 2 groups (P＞0.05).The average VAS score was 2.3± 1.1,and 4.9±2.3 in the 2 groups.The VAS had significant difference between the 2 groups (P＜0.05).The incidences of hematuria,hemospermia and urinary retention were 37.1％ (43/116),3.4％ (4/116) and 1.7％ (2/116) in nerve block group,and 39.3％ (42/107),4.7％ (5/107) and 1.9％ (2/107) in local anesthesia group.The difference was not significant (P＞0.05).Conclusion Periprostatic nerve block for TRUS guided biopsy of the prostate could be safe with good analgesic effect.
