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目的:研究经直肠超声定位前列腺穿刺术(TRUSPB)术后感染并发症的特点、危险因素及其预防措施。方法:回顾性分析我院2010年1月~2013年6月行TRUSPB术的571例患者术后并发感染35例的临床资料并文献复习。结果:前列腺体积(>45ml)可作为TRUSPB术后感染的独立的预测因素,而年龄、前列腺特异抗原(PSA)与感染并发症无明显统计学关联。结论:穿刺术前应评估危险因素,对于前列腺体积较大患者要告知感染风险,并积极预防对症处理,TRUSPB仍是临床首选的安全性较好的诊断前列腺癌的方法之一。
Objective: To study the characteristics, risk factors and preventive measures of postoperative complications of transrectal ultrasound-guided prostatectomy (TRUSPB). Methods: The clinical data and literature review of 571 patients who underwent TRUSPB in our hospital from January 2010 to June 2013 were retrospectively analyzed. Results: Prostate volume (> 45 ml) was an independent predictor of postoperative infection in TRUSPB, whereas age, prostate specific antigen (PSA) and infection complications were not significantly correlated. CONCLUSIONS: Risk factors should be assessed before puncture. For patients with large prostate volume, to be informed of the risk of infection and to proactively prevent symptomatic treatment, TRUSPB is still the clinically preferred and safest method of diagnosing prostate cancer.