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目的探讨经商肠前列腺穿刺活检并发症的发生率、相关因素和处理方法。方法对1995-2004年经直肠前列腺穿刺活检226例进行回顾性分析。由前列腺左右叶分别穿刺3点,中叶穿刺2点。干纱布置入直肠内压迫止血。穿刺前后各应用抗生素3d。结果穿刺后32例患者出现肉眼血尿(14．16％),12例患者直肠出血(5．31％),尿路刺激症状伴有／不伴有发热34例(15．04％),排尿困难29例(12．83％)。上述患者经相关处理后恢复。结论前列腺穿刺活检是诊断前列腺癌的一种安全、简便方法,但在应用中仍有可能发生各种并发症。使用细针穿刺和穿刺前充分的肠道准备是降低并发症发生率的有效手段。
Objective To investigate the incidence, relevant factors and treatment of complications of transurethral prostatic biopsy. Methods Retrospective analysis of 226 cases of transrectal prostatic biopsy from 1995 to 2004. Prostate left and right leaves were punctured 3 points, the middle puncture 2:00. Dry gauze placed in the rectum pressure to stop bleeding. Application of antibiotics before and after puncture 3d. Results 32 cases of gross hematuria (14.16%), 12 cases of rectal bleeding (5.31%), 34 cases of urinary tract irritation with / without fever (15.04%), dysuria 29 cases (12.83%). The patients recovered after the relevant treatment. Conclusion Prostate biopsy is a safe and convenient method to diagnose prostate cancer. However, various complications may still occur in the application. The use of fine needle aspiration and adequate bowel preparation prior to puncturing is an effective means of reducing the incidence of complications.