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目的研究经直肠超声引导下经直肠穿刺治疗前列腺脓肿的临床价值。方法12例直肠彩超引导下用18GPTC针经直肠穿刺前列腺脓肿,将针尖置于病灶的中心,在超声实时监视下抽尽脓液,用0.5%甲硝唑溶液反复冲洗至脓液清亮后,注入适量抗生素,末次穿刺1个月后复查经直肠彩超。结果12例患者均穿刺成功,10例患者穿刺治疗一次,2例患者穿刺治疗两次。治愈率为100%。结论经直肠超声引导下经直肠穿刺治疗前列腺脓肿具有痛苦小,费用低,操作简单、方便,安全,治愈率高,无明显不良反应和并发症等优点,可作为治疗前列腺脓肿的首选方法。
Objective To study the clinical value of transrectal ultrasound-guided transrectal puncture in the treatment of prostatic abscess. Methods 12 cases of rectal echocardiography under the guidance of 18GPTC needle transrectal puncture of prostate abscess, the needle tip in the center of the lesion under the ultrasound real-time monitoring pus pus, 0.5% metronidazole solution repeatedly washed until the pus clear, injected Amount of antibiotics, the last puncture 1 month after rectal ultrasound. Results All the 12 patients were successfully punctured, 10 punctured once and 2 puncture twice. The cure rate is 100%. Conclusion Transrectal ultrasound-guided transrectal puncture of prostatic abscess has the advantages of less pain, less cost, simple operation, convenience, safety, high cure rate, no obvious adverse reactions and complications, which can be used as the first choice for the treatment of prostatic abscess.