两种肠道准备方法预防前列腺穿刺活检术后并发症效果比较

Comparation the effects of two bowel preparation methods in preventing the complications of prostate biopsy

关键词:  前列腺穿刺活检  灌肠  并发症  感染

Key words:  prostate biopsy  bowel preparation  complications  infection

摘要:

［目的］探讨两种肠道准备方法对前列腺穿刺活检术后并发症发生率的影响。［方法］将2008年12月～2010年10月疑前列腺癌并行穿刺活检患者98例分为A、B两组。A组（n=55）术前不行灌肠，术前夜口服导泻剂；B组（n=43）术前夜口服导泻剂，术晨灌肠。两组患者术前2～3 d均行常规肠道准备、口服抗感染药物，术前晚禁食。［结果］A组患者中35例出现并发症（63.6%），发热（T>38℃）伴寒战2例（3.6%）；B组43例患者中29例出现并发症（67.4%），发热2例（4.7%），出现寒战者1例（2.3%）。［结论］术前灌肠可能不会减少前列腺活检患者术后并发症发生率。

Abstract:

［Objective］To investigate the effects of two different bowel preparation methods in the prevention of the complications following prostate biopsy.［ Methods］All of 98 patients with suspected prostate cancer were divided into A and B groups.All patients received routine bowel preparation for 2～3 days,took oral antibiotics,began fasting after 8 the night before.The patients in group A received oral cathartic agent but not enema,while those in group B received oral cathartic agent and routine cleansing enema in the morning before biopsy.［Results］In group A,63.6% patients (35 of 55) had complications,including 2 patients with fever(T>38 ℃) and chill (3.6%); in group B,67.4% patients (29 of 43) had complications,including 2 patients with fever (4.7%),one of them expressing chill (2.3%).［Conclusion］The prebiopsy enemas might not decrease overall rates of complication in patients with prostate biopsy.