超声引导经直肠“一枪一针”前列腺穿刺活检预防感染的回顾性研究

发布时间：2018-04-08 13:07

本文选题：前列腺穿刺　切入点：超声引导　出处：《中华男科学杂志》2017年07期

【摘要】：目的:通过总结超声引导下经直肠前列腺穿刺活检术"一枪一针"法的临床资料,探讨该方法预防前列腺穿刺术后感染的可行性与有效性。方法:回顾性分析2005年1月至2015年12月超声引导下经直肠前列腺穿刺病例,统计分析"一枪一针"法与"一人一针"法行前列腺穿刺术患者的临床资料。"一枪一针"法,即进行前列腺穿刺活检时,每例患者每穿刺一枪更换一针。"一人一针"法,即进行前列腺穿刺活检时,每例患者只用一根针连续穿刺数枪,每穿完一枪后,穿刺针表面用碘伏纱布进行消毒。比较两种方法穿刺相关的感染发生率。2005年1月至2008年12月采用"一人一针"穿刺"6+1"或"12+1"针共计120例(对照组),2009年1月至2015年12月采用"一枪一针"穿刺"12+1"针466例(观察组)。结果:两组在年龄、前列腺体积、血清PSA水平以及前列腺癌的检出率方面差异无统计学意义(P0.05)。观察组术后尿路感染、发热、菌尿症以及穿刺相关的感染发生率分别为0.9%、1.1%、0.2%和2.6%,对照组的分别为7.5%、5.0%、2.5%和16.7%,观察组明显优于对照组(P0.05)。而菌血症或败血症则两组均发生2例,差异无统计学意义(P0.05)。结论:超声引导下经直肠"一枪一针"法行前列腺穿刺活检术,能有效预防穿刺所致的相关感染,给患者带来好处。
[Abstract]:Objective: to summarize the clinical data of one shot and one needle in transrectal prostate biopsy guided by ultrasound, and to explore the feasibility and effectiveness of this method in preventing infection after prostate puncture.Methods: the clinical data of patients with transrectal prostate puncture guided by ultrasound from January 2005 to December 2015 were analyzed retrospectively."one shot, one needle", in which the prostate biopsy is performed, each patient is replaced with one shot per puncture."one person one needle" method, that is, to carry out prostate biopsy, each patient only use one needle to puncture a number of guns, after each shot, the needle surface with iodophor gauze disinfection.From January 2005 to December 2008, 120 cases were treated with "one person, one needle" or "121" needle (control group, from January 2009 to December 2015, using "one shot, one needle", "121").466 cases (observation group).Results: there was no significant difference in age, prostate volume, serum PSA level and detection rate of prostate cancer between the two groups (P 0.05).The incidences of urinary tract infection, fever, bacteriuria and puncture related infection in the observation group were 0.92% and 2.6%, respectively, and those in the control group were 7.5% and 16.70.The observation group was significantly better than the control group (P 0.05).There were 2 cases of bacteremia or septicemia in the two groups, the difference was not statistically significant (P 0.05).Conclusion: transrectal prostate biopsy guided by ultrasound can effectively prevent the infection caused by puncture and bring benefits to the patients.
【作者单位】：广东省第二人民医院泌尿外科;南方医科大学附属广东省第二人民医院泌尿外科;广东省第二人民医院超声科;
【基金】：广东省科技计划项目(2014A020212680)~~
【分类号】：R697.3

【参考文献】