摘要
目的探讨经直肠超声引导下前列腺穿刺活体组织检查(活检)术后并发感染的发生率,并分析其相关危险因素。方法对2008年1月-2013年12月经直肠超声引导下前列腺穿刺活检的238例患者进行回顾性研究,分析并发感染的发生率,同时比较感染组和非感染组的相关资料,分析感染的危险因素。结果 238例穿刺患者中,发生感染者25例,感染发生率为10.5%。感染组与非感染组年龄、病理结果差异无统计学意义(P>0.05),而患有糖尿病、增加穿刺针数将增加感染的风险(P<0.05)。结论经直肠超声引导下前列腺穿刺活检是诊断前列腺癌的一种安全、简便的方法,但在应用中仍有合并感染的可能,合理的评估、穿刺前的准备及适当的穿刺针数,有助于减少感染风险的发生。
Objective To explore the incidence of and relative factors for infectious complications after transrectal prostatic biopsy. Methods We retrospectively analyzed the clinical data of 238 patients who underwent prostate puncture biopsy via rectum between January 2008 and December 2013, and analyzed the rate of infectious complications. At the same time, we compared the data of infection group and non-infection group to analyze the risk factors for infection. Results Among the 238 patients, infectious complication was found in 25 cases （10.5%）, and there was no significant difference between infection and non-infection group in age and pathological results （P 〉 0.05）. However, diabetes history and the increased number of puncture needles may increase the risk of infection （P 〈 0.05）. Conclusions Though transrectal prostatic biopsy is considered simple and safe, infectious complications may happen during the application. Reasonable evaluation, adequate preparation before biopsy and appropriate number of puncture needles are recommended to decrease the incidence of infections.
出处
《华西医学》
CAS
2014年第9期1670-1673,共4页
West China Medical Journal
关键词
经直肠超声
前列腺穿刺
感染
Transrectal ultrasound
Transrectal prostatic biopsy
Infection
