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预防和治疗活检相关并发症。

Prevention and treatment of biopsy-related complications.

机构信息

Department of Urology, University of Miami Miller school of Medicine, 1400, NW 10th Ave Suite 507, Dominion Towers, Miami, FL, 33136, USA,

出版信息

Curr Urol Rep. 2014 Feb;15(2):381. doi: 10.1007/s11934-013-0381-2.

DOI:10.1007/s11934-013-0381-2
PMID:24384997
Abstract

Transrectal biopsy of the prostate is necessary in the diagnosis of prostate cancer (PC). Though generally considered safe, patients encounter minor complications such as bleeding and urinary symptoms, and uncommonly, serious infections that may require antibiotic therapy, visits to the emergency room (ER) or hospital admission, causing morbidity and rarely even mortality. It is concerning that infections are on the rise due to resistant bacteria. Urologists will have to be aware of bacterial susceptibility studies to reduce such complications. This review focuses on prostate biopsy and its complications, and measures to reduce these complications in our practice.

摘要

经直肠前列腺活检对前列腺癌(PC)的诊断是必要的。虽然一般认为是安全的,但患者会遇到一些轻微的并发症,如出血和尿症状,并且罕见地出现严重感染,这可能需要抗生素治疗、急诊室(ER)就诊或住院,导致发病率,甚至罕见地导致死亡率。令人担忧的是,由于耐药菌的存在,感染呈上升趋势。泌尿科医生必须了解细菌药敏研究,以减少此类并发症。本综述重点介绍前列腺活检及其并发症,以及我们在实践中减少这些并发症的措施。

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Curr Urol Rep. 2014 Feb;15(2):381. doi: 10.1007/s11934-013-0381-2.
2
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本文引用的文献

1
The accuracy of multiparametric MRI in men with negative biopsy and elevated PSA level--can it rule out clinically significant prostate cancer?多参数磁共振成像在活检阴性且前列腺特异抗原水平升高的男性中的准确性——它能否排除临床显著性前列腺癌?
Urol Oncol. 2014 Jan;32(1):45.e17-22. doi: 10.1016/j.urolonc.2013.06.007. Epub 2013 Sep 18.
2
Mortality and complications after prostate biopsy in the Prostate, Lung, Colorectal and Ovarian Cancer Screening (PLCO) trial.在前列腺、肺、结肠和卵巢癌筛查(PLCO)试验中前列腺活检后的死亡率和并发症。
BJU Int. 2014 Feb;113(2):254-9. doi: 10.1111/bju.12368. Epub 2013 Nov 21.
3
Formalin disinfection of biopsy needle minimizes the risk of sepsis following prostate biopsy.
福尔马林消毒活检针可最大程度降低前列腺活检后脓毒症的风险。
J Urol. 2013 Nov;190(5):1769-75. doi: 10.1016/j.juro.2013.04.134. Epub 2013 May 25.
4
Summary of evidence-based guideline: periprocedural management of antithrombotic medications in patients with ischemic cerebrovascular disease: report of the Guideline Development Subcommittee of the American Academy of Neurology.基于证据的指南摘要:缺血性脑血管病患者抗血栓药物的围手术期管理:美国神经病学学会指南制定小组委员会的报告。
Neurology. 2013 May 28;80(22):2065-9. doi: 10.1212/WNL.0b013e318294b32d.
5
Does periprostatic block increase the transrectal ultrasound (TRUS) biopsy sepsis rate in men with elevated PSA?经直肠超声(TRUS)引导下前列腺周围阻滞是否会增加 PSA 升高患者 TRUS 活检的脓毒症发生率?
Ann Acad Med Singap. 2013 Apr;42(4):168-72.
6
Hemosepermia after transrectal ultrasound-guided prostatic biopsy: A prospective study.经直肠超声引导下前列腺穿刺活检后血尿症:一项前瞻性研究。
Urol Ann. 2013 Jan;5(1):30-3. doi: 10.4103/0974-7796.106963.
7
Early detection of prostate cancer: AUA Guideline.早期前列腺癌检测:AUA 指南。
J Urol. 2013 Aug;190(2):419-26. doi: 10.1016/j.juro.2013.04.119. Epub 2013 May 6.
8
Ciprofloxacin resistance in the faecal carriage of patients undergoing transrectal ultrasound guided prostate biopsy.经直肠超声引导前列腺活检患者粪便携带的环丙沙星耐药性。
BJU Int. 2013 May;111(6):946-53. doi: 10.1111/j.1464-410X.2012.11637.x. Epub 2013 Mar 6.
9
Decrease in infection rate following use of povidone-iodine during transrectal ultrasound guided biopsy of the prostate: a double blind randomized clinical trial.经直肠超声引导下前列腺穿刺活检术中使用聚维酮碘后感染率的降低:一项双盲随机临床试验
Iran J Radiol. 2012 Jun;9(2):67-70. doi: 10.5812/iranjradiol.7561. Epub 2012 Jun 30.
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Increasing hospital admission rates for urological complications after transrectal ultrasound guided prostate biopsy.经直肠超声引导前列腺活检后泌尿系统并发症导致的住院率增加。
J Urol. 2013 Jan;189(1 Suppl):S12-7; discussion S17-8. doi: 10.1016/j.juro.2012.11.015.