超声引导下经会阴与经直肠途径在前列腺穿刺活检中的疗效比较
Efficacy analysis of transperineal and transrectal prostate biopsy under ultrasound guidance
纪俊标 1唐庆来 1王杜渐 1周兴祝 1陶荣镇1
作者信息
- 1. 南京医科大学附属江宁医院泌尿外科,南京 211100
- 折叠
摘要
目的 比较超声引导下经会阴与经直肠途径在前列腺穿刺活检中的临床疗效与安全性.方法 回顾性分析2022年1月至2022年12月在本院接受前列腺穿刺活检的156例疑似前列腺癌的患者的临床资料.按照穿刺方式的不同,将患者分为经直肠组(82例)和经会阴组(74例).比较两组患者的穿刺阳性率及术后并发症.结果 经会阴组的穿刺时间和视觉模拟评分法(VAS)评分少于经直肠组,但差异均无统计学意义(均P＞0.05);两组的前列腺穿刺活检阳性率比较,差异均无统计学意义(均P＞0.05);经直肠组的发热、肉眼血尿及直肠出血的发生率高于经会阴组,差异均有统计学意义(均P＜0.05).结论 经会阴前列腺穿刺的术后并发症相对较少,安全性显著提高,使大多数患者更容易接受,因此超声引导下经会阴前列腺穿刺途径将有更加广阔前景,值得临床应用和推广.
Abstract
Objective To compare the clinical efficacy and safety of ultrasound-guided trans-perineal and transrectal prostate puncture.Methods From January 2022 to December 2022,156 pa-tients with prostate cancer who had received prostate biopsy were analyzed retrospectively.Patients were divided into transrectal group(82 cases)and perineal group(74 cases)according to different puncture methods.The rates of puncture positive and complications were compared between the two groups.Results The puncture time and visual analogus scale(VAS)pain score of the transperineal group were lower than those of the transrectal group,with no statistical significance(all P＞0.05).There was no significant difference in the positive rate of prostate biopsy between the two groups(all P＞0.05).The incidence of fever,gross hematuria and rectal bleeding in the transrectal group was higher than that in the transperineal group(all P＜0.05).Conclusions Transperineal prostate punc-ture has relatively few postoperative complications,higher security,and makes it easier for most pa-tients to accept.Therefore,transperineal prostate puncture under ultrasound guidance will have broa-der prospects and is worthy of clinical application and promotion.
关键词
前列腺/活组织检查,针吸/超声检查/会阴/直肠Key words
Prostate/Biopsy,Needle/Ultrasonography/Perineum/Rectum引用本文复制引用
出版年
2024
NETL
NSTL
万方数据