经直肠超声引导前列腺穿刺活检的安全性

Assessment of safety of the prostate biopsy guided by transrectal ultrasound

目的 评价经直肠超声引导前列腺穿刺活检技术的安全性。方法 对 317例临床怀疑前列腺癌的患者进行经直肠超声引导前列腺穿刺活检并对 2 0 8例患者进行随访。结果 在 2 0 8例随访的病例中 ,181例患者在穿刺过程中未出现严重和剧烈疼痛。术后血尿 12例 ,直肠出血 4例 ,发热 1例 ,尿频、尿痛 2例 ,尿潴留 2例 ,经对症治疗后症状消失。结论 经直肠超声引导前列腺穿刺活检优于其他前列腺穿刺方法 ,操作时间短 ,患者无需麻醉 ,痛苦小 ,安全性高 。

Objective To evaluate the safety of biopsy of the prostate guided by transrectal ultrasound. Methods Three hundred and seventeen patients suspected to have prostate cancer were examined and 208 patients were followed up.Results One hundred and eighty one patients followed up did not feel severe pain during the biopsy of the prostate. Clinical manifestations induded 12 cases of hematuria,4 dases of hematospermia,1 case of fever, 2 cases of pollakisuria and urodymia,2 cases of uroschesis,which disappeared after corresponding treatment.Conclusions Biopsies of the prostate guided by transrectal ultrasound is advantageous in diagnosis of prostatic carcinoma.