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前列腺活检的并发症。

Complications of prostate biopsy.

机构信息

Department of Urology, AMC University Hospital, Meibergdreef 9,1105 Amsterdam, The Netherlands.

出版信息

Expert Rev Anticancer Ther. 2013 Jul;13(7):829-37. doi: 10.1586/14737140.2013.811056.

Abstract

Biopsy of the prostate is a common procedure with minor complications that are usually self-limited. However, if one considers that millions of men undergo biopsy worldwide, one realizes that although complication rate is low, the number of patients suffering from biopsy complications should not be underestimated and can be a clinically relevant problem for healthcare professionals. In this review, the authors present diagnosis and management of postbiopsy of prostate complications. Bleeding is the most common complication observed after prostate biopsy, but the use of aspirin or nonsteroidal anti-inflammatory drugs is not an absolute contraindication to prostate biopsy. Emerging resistance to ciprofloxacin is the most probable cause of the increasing risk of infectious complications after prostate biopsy. Even though extremely rare, fatal complications are possible and were described in case reports.

摘要

前列腺活检是一种常见的操作,具有较小的并发症,通常是自限性的。然而,如果考虑到全世界有数百万男性接受了活检,就会意识到尽管并发症发生率较低,但遭受活检相关并发症的患者数量不容小觑,并且可能成为医疗保健专业人员面临的一个具有临床意义的问题。在本次综述中,作者介绍了前列腺活检后并发症的诊断和处理。出血是前列腺活检后最常见的并发症,但使用阿司匹林或非甾体抗炎药并不是前列腺活检的绝对禁忌证。对环丙沙星的耐药性日益增强是导致前列腺活检后感染性并发症风险增加的最可能原因。虽然极为罕见,但已有致命性并发症的病例报告。

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