超声引导下经会阴与经直肠前列腺穿刺活检比较

发布时间：2018-04-01 11:00

本文选题：超声引导　切入点：前列腺穿刺途径　出处：《中国老年学杂志》2015年23期

【摘要】：目的探讨超声引导下前列腺经会阴6+X与经直肠靶向穿刺活检前列腺癌检出率和并发症的差异。方法收集疑似前列腺癌患者211例行超声引导下穿刺活检,其中经会阴组126例,经直肠组85例。比较两组间的前列腺癌检出率和并发症的差异。结果以前列腺特异性抗原(PSA)(ng/ml)4~10、10~20及20 ng/ml水平分层,经会阴组与经直肠组各层间前列腺癌检出率均无统计学差异(P0.05)。经会阴组的血尿并发症发生率高于经直肠组(P0.05);经直肠组的发热及直肠出血并发症发生率高于经会阴组(P0.05);两组间尿潴留及总并发症发生率无统计学差异(P0.05)。结论直肠超声引导下的经会阴6+X和经直肠靶向穿刺均是有效的途径,经会阴穿刺针数及血尿发生率高于经直肠穿刺,而直肠出血及发热发生率低于经直肠穿刺,故应根据患者自身健康状况选择合理的穿刺方式。
[Abstract]:Objective to investigate the difference of prostate cancer detection rate and complications between transperineal transperineal biopsy and transrectal transperineal biopsy guided by ultrasound. Methods 211 patients with suspected prostate cancer underwent transperineal biopsy, including 126 patients in the transperineal group. The detection rate and complications of prostate cancer were compared between the two groups. Results the prostate specific antigen (PSAG / ml) was used to divide the prostate cancer between the two groups at 10 ~ (10) ~ 10 ~ (10) ~ 10 ~ (20) and 20 ng/ml levels, respectively. There was no significant difference in the detection rate of prostate cancer between the transperineal group and the transrectal group (P 0.05). The incidence of hematuria complications in the transperineal group was higher than that in the transrectal group (P 0.05), and the incidence of fever and rectal bleeding in the transrectal group was higher than that in the transperineal group. There was no significant difference in the incidence of urinary retention and total complications between the two groups. Conclusion both transperineal 6X and transrectal targeted puncture guided by rectal ultrasound are effective approaches. The number of perineum puncture needles and the incidence of hematuria were higher than that of transrectal puncture, while the incidence of rectal hemorrhage and fever was lower than that of transrectal puncture.
【作者单位】：上海市嘉定区中心医院超声科;上海市华山医院宝山分院超声科;
【基金】：上海市嘉定区卫计委科研项目(No.KYXM-2015-03) 上海市嘉定区中心医院中青年骨干培养项目
【分类号】：R737.25

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