Rajgopal Raghav, Wang Yuding, Faber Kenneth J, Izawa Jonathan I
Division of Orthopedic Surgery, Department of Surgery, The Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON;
Can Urol Assoc J. 2012 Feb;6(1):E20-2. doi: 10.5489/cuaj.11025.
Transrectal ultrasound-guided needle biopsy of the prostate (TRUS) is a well-tolerated and standardized procedure for the diagnosis of prostate cancer. Complications associated with TRUS requiring emergency room visits or hospital admissions are relatively low and include complications, such as a 1% risk of urinary retention and less than 1% chance of bacterial sepsis. Vertebral osteomyelitis is a rare complication of TRUS; there are 3 reported cases. Vertebral osteomyelitis has an insidious onset and usually resolves following medical intervention. We present an extremely rare case of vertebral osteomyelitis following TRUS, its clinical outcome and management.
经直肠超声引导下前列腺穿刺活检（TRUS）是一种耐受性良好且标准化的前列腺癌诊断方法。与TRUS相关的需要急诊就诊或住院治疗的并发症相对较少，包括诸如1%的尿潴留风险和不到1%的细菌败血症几率等并发症。脊椎骨髓炎是TRUS的一种罕见并发症；有3例报告病例。脊椎骨髓炎起病隐匿，通常经医学干预后可痊愈。我们报告一例极其罕见的TRUS术后脊椎骨髓炎病例、其临床结果及处理情况。
