Vaessen C, Janssen T, Schulman C
Service d'Urologie, Cliniques Universitaires de Bruxelles, Hôpital Erasme, Belgique.
Acta Urol Belg. 1997 Dec;65(4):9-12.
Biopsies are indispensable for the diagnosis of the adenocarcinoma of the prostate. Multiple transrectal ultrasound-guided prostatic biopsies are accurate and sure. However, haemorrhagic and infectious complications are not rare. The anamnesis and the intermission of anticoagulant drugs are the best prophylaxis to prevent haemorrhagic complications. The advantage of prophylactic antibiotic therapy has not been absolutely demonstrated. Nevertheless, before biopsies, bacteriuria must be treated. Indeed, pre-biopsy bacteriuria seems to be correlated to septic complications after the procedure.
活检对于前列腺腺癌的诊断必不可少。多次经直肠超声引导下前列腺活检准确可靠。然而，出血性和感染性并发症并不罕见。病史询问及停用抗凝药物是预防出血性并发症的最佳措施。预防性抗生素治疗的优势尚未得到绝对证实。尽管如此，活检前必须治疗菌尿症。事实上，活检前菌尿症似乎与术后脓毒症并发症相关。
