改良肛周/包膜周围麻醉用于患有肛肠疾病患者的经直肠前列腺活检。
Modified perianal/pericapsular anesthesia for transrectal biopsy of prostate in patients with anal rectal problems.
作者信息
Kravchick Sergey, Yoffe Boris, Cytron Shmuel
机构信息
Department of Urology, Barzilai Medical Center, Ashkelon, Israel.
出版信息
Urology. 2007 Jan;69(1):139-41. doi: 10.1016/j.urology.2006.09.016.
OBJECTIVES
To modify our technique of perianal anesthesia and use it in patients with painful conditions of the rectum and/or anus.
METHODS
A total of 31 consecutive patients with anal-rectal problems underwent prostate needle biopsy. Of these, 17 were referred to our hospital after vain attempts to insert a transrectal ultrasound probe. Patients received a perianal-pericapsular injection of 1% lidocaine. Pain perception was separately assessed for probe insertion and biopsies using a visual pain analog score.
RESULTS
Only in 1 patient were we unable to insert the transrectal ultrasound probe. The mean patient age was 65.28 +/- 5.35 years. We performed a mean of 12.25 biopsies per case. At probe insertion, the mean pain score was 2.2 +/- 0.83. During the biopsy punctures, the mean pain level was 2.53 +/- 1.054. We did not find any increase in the complication rate related to the anesthesia method.
CONCLUSIONS
Modified perianal anesthesia can be used for transrectal ultrasound-guided biopsy of the prostate in patients with anal-rectal problems, because it provides significant pain relief.
目的
改进我们的肛周麻醉技术，并将其应用于患有直肠和/或肛门疼痛性疾病的患者。
方法
共有31例连续的肛肠问题患者接受了前列腺穿刺活检。其中，17例在经直肠超声探头插入尝试失败后转诊至我院。患者接受了1%利多卡因的肛周-包膜周围注射。使用视觉疼痛模拟评分分别评估探头插入和活检时的疼痛感知。
结果
仅1例患者无法插入经直肠超声探头。患者平均年龄为65.28±5.35岁。每例患者平均进行了12.25次活检。探头插入时，平均疼痛评分为2.2±0.83。活检穿刺期间，平均疼痛程度为2.53±1.054。我们未发现与麻醉方法相关的并发症发生率有任何增加。
结论
改良的肛周麻醉可用于患有肛肠问题患者的经直肠超声引导下前列腺活检，因为它能显著减轻疼痛。
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