经会阴和经直肠前列腺穿刺活检术在前列腺癌诊断中的应用

目的:探讨经会阴和经直肠前列腺穿刺活检术在前列腺癌诊断中的应用价值。方法:选择本院2017年6月至2019年6月期间接收的前列腺癌患者94例为研究对象,均行穿刺活检术检查,依据穿刺途径分组,经会阴前列腺穿刺活检术57例(会阴组),经直肠前列腺穿刺活检术共37例(直肠组),比较两组不合格样本针数、穿刺过程及穿刺后并发症发生情况。结果:直肠组不合格样本针数率低于会阴组(0.28%vs 2.21%,P<0.05)。直肠组穿刺时间、疼痛程度均优于会阴组(P<0.01);直肠组疼痛发生率均低于会阴组,但发热率、直肠出血率均高于会阴组(P<0.05)。结论:在前列腺癌诊断中可采用穿刺活检术确诊,其中经会阴途径应用普遍,但穿刺时间长、疼痛明显;而经直肠途径虽疼痛较轻,但存在直肠出血风险。应依据患者实际情况选择适宜穿刺途径。

Application of transperineal and transrectal prostate biopsy in diagnosis of prostate cancer

Objective:To investigate the application value of transperineal and transrectal prostate biopsy in the diagnosis of prostate cancer.Methods:94 patients with prostate cancer in our hospital from June 2017 to June 2019 were selected as the research objects,and all of them underwent puncture biopsy.According to the puncture route,57 cases underwent transperineal prostate biopsy(perineal group),and 37 cases underwent transrectal prostate biopsy(rectal group).Results:The ratio of puncture needles of unqualified samples in the rectal group were lower than those in the perineum group(0.28%vs 2.21%,P<0.05).The puncture time and pain degree of the rectal group were better than those of the perineum group(P<0.01);the incidence of pain in the rectal group was lower than that in the perineum group,but the fever rate and rectal bleeding rate were higher than those in the perineum group(P<0.05).Conclusion:The diagnosis of prostate cancer can be confirmed by biopsy methods.Of them,the transperineal approach is widely used,but its puncture time is long and the pain is obvious,while the pain of transrectal approach is less,but there is a risk of rectal bleeding.The appropriate puncture route should be selected according to the actual situation of patients.