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[经直肠超声引导下前列腺穿刺活检]

[Transrectal ultrasound-guided biopsy of the prostate].

作者信息

Lissiani A, Savoca G, Paolinelli D, De Stefani S, Ciampalini S, Trombetta C, Belgrano E

机构信息

Istituto di Clinica Urologica, Università degli Studi di Trieste.

出版信息

Arch Ital Urol Androl. 2000 Dec;72(4):320-3.

Abstract

The early detection of prostatic neoplasm is nowadays a primary need in the urological field. The availability of transrectal ultrasound equipment alongside with bioptic tools made possible that transrectal ultrasound-guided biopsy of the prostate became the standard procedure to achieve this goal. With this work we would like to confirm the efficacy of this method which is also associated with a good tolerance and low complications rate. 82 patients that came to our Department between 1997 and 1999 were submitted to this procedure, 25 resulted positive for prostatic adenocarcinoma. Only 2 of them did not tolerate the procedure while all the others referred only mild discomfort at the moment of the puncture; 9 patients afterwards had to be admitted to the hospital due to fever (1 patient), acute retention of urine (3 patients) and persistent macroscopic hematuria (5 patients). Transrectal ultrasound-guided biopsy of the prostate reveals to be a safe and accurate method to obtain tissue samples of the prostate along with high tolerance and low incidence of serious complications.

摘要

目前,前列腺肿瘤的早期检测是泌尿外科领域的首要需求。经直肠超声设备与活检工具的出现,使得经直肠超声引导下的前列腺活检成为实现这一目标的标准程序。通过这项工作,我们旨在证实该方法的有效性,该方法还具有良好的耐受性和低并发症发生率。1997年至1999年间,82例患者到我院接受了该手术,其中25例前列腺腺癌呈阳性。只有2例患者无法耐受该手术,而其他所有患者在穿刺时仅表示有轻微不适;9例患者术后因发热(1例)、急性尿潴留(3例)和持续性肉眼血尿(5例)而需住院治疗。经直肠超声引导下的前列腺活检是一种安全、准确的获取前列腺组织样本的方法,具有高耐受性和低严重并发症发生率。

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