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目的探讨经直肠超声引导穿刺硬化与注药治疗前列腺囊肿的疗效及临床应用价值。方法将28例前列腺囊肿患者平均分为2组,分别进行经直肠超声引导穿刺硬化治疗(硬化组)和注药治疗(注药组)。比较两组的一次穿刺有效率及18个月后的复发率。结果硬化组12例患者一次穿刺硬化治疗后囊肿显著减小,症状消失,一次硬化治疗有效率为85.71%(12/14);注药组11例一次穿刺注药治疗后囊肿显著减小,症状消失,一次注药治疗有效率为78.57%(11/14),两组一次穿刺治疗有效率差异无统计学意义(P=0.648)。随访18个月,硬化组1例(7.14%,1/14)复发,注药组4例(28.57%,4/14)复发,两组复发率差异无统计学意义(P=0.328)。结论经直肠超声引导穿刺前列腺囊肿准确可靠,硬化治疗与注药治疗均具有较高的临床应用价值。
Objective To investigate the efficacy and clinical value of transrectal ultrasound guided puncture sclerosis and drug injection in the treatment of prostatic cyst. Methods 28 patients with prostatic cyst were divided into two groups, and received transrectal ultrasound guided sclerotherapy (sclerotherapy group) and injection therapy (injection group) respectively. The puncture efficiency and the recurrence rate after 18 months were compared between the two groups. Results In 12 cases of sclerosis group, cyst was significantly reduced and the symptom disappeared after primary puncture and sclerosis treatment. The effective rate of primary sclerosis treatment was 85.71% (12/14). In the injection group, the number of cyst was significantly decreased after one puncture and injection treatment. Symptoms Disappeared. The effective rate of one injection treatment was 78.57% (11/14). There was no significant difference in the effective rate of one puncture between the two groups (P = 0.648). During the follow-up of 18 months, 1 case (7.14%, 1/14) recurred in the sclerotic group and 4 cases (28.57%, 4/14) recurred in the injection group. There was no significant difference in the recurrence rates between the two groups (P = 0.328). Conclusion Transrectal ultrasound-guided prostatic cyst is accurate and reliable. Both sclerotherapy and injection therapy have high clinical value.