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

doi:10.3969/j.issn.1671-7171.2017.10.004

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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.

Key words： Rectum/US Punctures/MT Prostatic Neoplasms/DI Prostatic Neoplasms/CO Pain

Received: 09 January 2017

PACS:

R737.25

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2017.10.004 OR http://www.jcr.net.cn/EN/Y2017/V34/I10/1885

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