Abstract：【Objective】To compare transrectal ultrasound (transrectal ultrasound, TRUS) - guided transperineal prostate biopsy (TRUS-TP) and transrectal prostate biopsy (TRUS-TR) for prostate cancer diagnosis rate, complications and pain.【Methods】A total of 186 patients with suspicious prostate cancer were randomly divided into TRUS-TP group and TRUS-TR group, and the diagnosis rate, puncture, pathogens distributiont of the two methods were compared.【Results】The positive rate of TRUS-TP group was 37.63% (35/93), compared with TRUS-TR group 35.48% (33/93), the difference was not statistically significant (P>0.05); the postoperative mild pain in the group TRUS-TP was higher than that in the group TRUS-TR, and the incidence of mild rectal bleeding was lower than that in the group TRUS-TR, the difference was statistically significant (P<0.05), but there is no significant difference in other indexes (P>0.05); the incidence of bacteriuria and bacterial blood in the group TRUS-TP was significantly lower than that in the group TRUS-TR (P<0.05). There was no significant difference in the incidence of fever, perineal pain and lower urinary tract symptoms between the two groups (P>0.05); there was no significant difference between the two groups of pathogenic bacteria (P>0.05).【Conclusion】There was no difference between the two methods of TRUS-TP and TRUS-TR in the diagnosis of prostate cancer. Although TRUS-TP has higher pain level after puncture, it has the advantages of less complications and lower infection rate, which is worthy of clinical application.
王晓岩,许新征,刘洋洋,李义学,聂明辉,赵丽,史华宁,武英伟. 直肠超声引导下不同穿刺方案对前列腺癌确诊率、并发症及疼痛的影响[J]. 医学临床研究, 2017, 34(10): 1885-1887,1891.
WANG Xiao-yan, XU Xin-zheng, LIU Yang-yang, et al. Effect of Different Puncture Protocols on Diagnosis, Complications and Pain of Rectal Cancer Guided by Ultrasound. JOURNAL OF CLINICAL RESEARCH, 2017, 34(10): 1885-1887,1891.
2017, Vol. 34 
