前列腺脓肿的超声诊断和介入治疗的应用分析

The application value of ultrasound in the diagnosis and therapy of prostatic abscess

目的探讨经直肠超声造影(CE-TRUS)和二维超声在前列腺脓肿诊断和介入治疗中的临床应用价值。方法选取于我院就诊的可疑前列腺脓肿患者48例,其中25例在CE-TRUS引导下穿刺引流(造影组),23例在二维超声引导下穿刺引流(对照组),分析2组患者穿刺成功率、疗效以及并发症发生率的差异。结果造影组首次穿刺成功率(84%),高于对照组(65%),差异具有统计学意义(P<0.05)。造影组患者介入治疗优良率为为92%,明显高于对照组(68%),差异具有统计学意义(P<0.05);造影组介入治疗并发症发生率(8%)也低于对照组(21%),差异具有统计学意义(P<0.05)。2组中前列腺单发脓肿治疗的优良率(91%)明显高于其他类型(P<0.05),前列腺脓肿最大直径<2 cm者优良率(93%)也高于直径≥2 cm者(69%),差异具有统计学意义(P<0.05)。结论 CE-TRUS较二维超声更能准确评估前列腺脓肿内部结构,并有效提高脓肿穿刺成功率、疗效并减少并发症发生率,具有一定临床应用价值。

Objective To investigate the value of contrast-enhanced transrectal ultrasound(CE-TRUS) and conventional Ulrtasound in diagnosis and interventional therapy for prostatic abscess. Methods In a prospective study,interventional therapy was performed in 48 patients with suspected prostatic abscess that 25 cases were guided by CE-TRUS as CEUS group and 23 cases guided by conventional ultrasound as control group.Then analyze the differences of puncture success rate, curative effect and incidence rate of complication between the two groups. Results The success rate of first puncture in CEUS group(84%) was higher than that in the control group(65%)(P<0.05).The superior rate in CEUS group(92%) was higher than the control group(68%)(P<0.05),however the incidence rate of complication of CEUS group(8%) was less than the control group(21%)(P<0.05). The superior rate of single abscess(91%) was significantly higher than that of other types(P<0.05),also the rate of abscess with maximum diameter < 2 cm(93%) was higher than that diameter ≥ 2 cm(69%)(P< 0.05). Conclusion Compared to lonventional ultrsound can more CE-TRUS can accurately evaluate the formation of abscess cavity in prostatic abscess,and can improve first puncture treatment success rate and curative effect,also reduce incidence rate of complication.So it has certain value in clinical application.