肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2015年
3期
190-191,197
,共3页
张雅娟%夏国兵%蒋建新%陈维开%金秋龙
張雅娟%夏國兵%蔣建新%陳維開%金鞦龍
장아연%하국병%장건신%진유개%금추룡
穿刺%前列腺癌%并发症
穿刺%前列腺癌%併髮癥
천자%전렬선암%병발증
Biopsy%Prostate cancer%Complication
目的 比较8点及12点前列腺穿刺活组织检查术后的并发症发生情况,探讨减少相关并发症的措施.方法 回顾性分析260例直肠超声引导下前列腺穿刺活组织检查患者的相关资料,其中132例患者接受8点穿刺,128例患者接受12点穿刺.结果 260例患者中感染12例,其中8点组7例,12点组5例;肉眼血尿34例,其中8点组15例,12点组19例;直肠出血16例,其中8点组7例,12点组9例;急性尿潴留13例,其中8点组6例,12点组7例,两组患者并发症的发生率差异均无统计学意义(均P＞ 0.05),但是当前列腺体积≥45 ml时,12点的前列腺癌检出率高于8点(P＜0.05).结论 8点及12点穿刺的并发症发生率相当,采取针对性的措施可以明显降低前列腺穿刺活组织检查并发症的发生率,当前列腺体积较大时首选12点穿刺.
目的 比較8點及12點前列腺穿刺活組織檢查術後的併髮癥髮生情況,探討減少相關併髮癥的措施.方法 迴顧性分析260例直腸超聲引導下前列腺穿刺活組織檢查患者的相關資料,其中132例患者接受8點穿刺,128例患者接受12點穿刺.結果 260例患者中感染12例,其中8點組7例,12點組5例;肉眼血尿34例,其中8點組15例,12點組19例;直腸齣血16例,其中8點組7例,12點組9例;急性尿潴留13例,其中8點組6例,12點組7例,兩組患者併髮癥的髮生率差異均無統計學意義(均P＞ 0.05),但是噹前列腺體積≥45 ml時,12點的前列腺癌檢齣率高于8點(P＜0.05).結論 8點及12點穿刺的併髮癥髮生率相噹,採取針對性的措施可以明顯降低前列腺穿刺活組織檢查併髮癥的髮生率,噹前列腺體積較大時首選12點穿刺.
목적 비교8점급12점전렬선천자활조직검사술후적병발증발생정황,탐토감소상관병발증적조시.방법 회고성분석260례직장초성인도하전렬선천자활조직검사환자적상관자료,기중132례환자접수8점천자,128례환자접수12점천자.결과 260례환자중감염12례,기중8점조7례,12점조5례;육안혈뇨34례,기중8점조15례,12점조19례;직장출혈16례,기중8점조7례,12점조9례;급성뇨저류13례,기중8점조6례,12점조7례,량조환자병발증적발생솔차이균무통계학의의(균P＞ 0.05),단시당전렬선체적≥45 ml시,12점적전렬선암검출솔고우8점(P＜0.05).결론 8점급12점천자적병발증발생솔상당,채취침대성적조시가이명현강저전렬선천자활조직검사병발증적발생솔,당전렬선체적교대시수선12점천자.
Objective To compare complications incidence rates of 8-core and 12-core prostate biopsies guided with transrectal ultrasound retrospectively,and to study intervention ways to decrease complications.Methods The data of 260 consecutive patients undergoing first-time transrectal ultrasound-guided biopsy were analyzed.132 patients underwent 8-core biopsy and 128 patients underwent 12-core biopsy.Results In 8-core group,there were 7 cases of infections,15 cases of gross hematuria,7 cases of rectal bleeding and 6 cases of acute urinary retention,and in 12-core group,5 cases of infections,19 cases of gross hematuria,9 cases of rectal bleeding and 7 cases of acute urinary retention in 12-core group.There are no statistical differences of complications incidence rate between two groups (P ＞ 0.05).when prostate volume ＞ 45 ml,detection rate of prostate cancer in 12-core group was significantly higher than that in 8-core group.Conclusions There are no statistical differences of complications incidence rate between 8-and 12-core prostate biopsy.Homologous measure must be taken to reduce complications.12-core prostate biopsy is recommended as prostate volume ＞ 45 ml.
