论文部分内容阅读
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(P>0.05)。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(P<0.05)。而菌血症或败血症则两组均发生2例,差异无统计学意义(P>0.05)。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。
OBJECTIVE: To summarize the clinical data of transrectal prostate biopsy guided by transrectal prostate guided by ultrasound, and to explore the feasibility and effectiveness of this method in prevention of post-prostatic puncture infection. Methods: The clinical data of transrectal prostatic puncture under ultrasound guidance from January 2005 to December 2015 were retrospectively analyzed. The clinical data of patients who underwent percutaneous puncture data. “A shot a needle ” method, that is, prostate biopsy, each patient per needle puncture to change a needle. “One person one stitch ” method, that is, prostate biopsy, each patient with only one needle continuous puncture several guns, each shot after the completion of a shot, the needle surface disinfection with iodoform gauze. The rates of infection associated with the two methods were compared. From January 2005 to December 2008, a total of 120 patients (control group) with “one person one needle” puncture “6 + 1” or “12 + 1” needle were selected from January 2009 to December 2008 Month using “a shot a needle ” puncture “12 + 1 ” needle 466 cases (observation group). Results: There was no significant difference in age, prostate volume, serum PSA level and the detection rate of prostate cancer (P> 0.05). Postoperative urinary tract infections, fever, bacteriuria, and puncture-related infections were observed in 0.9%, 1.1%, 0.2% and 2.6% of the observation group and 7.5%, 5.0%, 2.5% and 16.7% in the control group , The observation group was significantly better than the control group (P <0.05). The bacteremia or sepsis were two cases occurred in both groups, the difference was not statistically significant (P> 0.05). Conclusion: Ultrasound - guided transrectal “single shot” prostate biopsy can effectively prevent the related infection caused by puncture and bring benefits to patients.