Clinical Analysis of Infectious Complication after Transrectal Prostatic Biopsy_West China Medical Journal

Authors：

 YANGDong-yuan ¹ ,  ZHAOMeng ²

1. Department of Urinary Surgery;the Fourth People's Hospital of Sichuan Province, Chengdu, Sichuan 610016, P. R. China;
2. Department of Ultrasonography;the Fourth People's Hospital of Sichuan Province, Chengdu, Sichuan 610016, P. R. China;

Corresponding?author：

ZHAOMeng, Email: xyx1110@163.com

Keywords：

Transrectal ultrasound; Transrectal prostatic biopsy; Infection

DOI：

10.7507/1002-0179.20140510

Video：

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Objective To explore the incidence of and relative factors for infectious complications after transrectal prostatic biopsy. Methods We retrospectively analyzed the clinical data of 238 patients who underwent prostate puncture biopsy via rectum between January 2008 and December 2013, and analyzed the rate of infectious complications. At the same time, we compared the data of infection group and non-infection group to analyze the risk factors for infection. Results Among the 238 patients, infectious complication was found in 25 cases (10.5%), and there was no significant difference between infection and non-infection group in age and pathological results (P>0.05). However, diabetes history and the increased number of puncture needles may increase the risk of infection (P<0.05). Conclusion Though transrectal prostatic biopsy is considered simple and safe, infectious complications may happen during the application. Reasonable evaluation, adequate preparation before biopsy and appropriate number of puncture needles are recommended to decrease the incidence of infections.

Citation： YANGDong-yuan, ZHAOMeng. Clinical Analysis of Infectious Complication after Transrectal Prostatic Biopsy. West China Medical Journal, 2014, 29(9): 1670-1673. doi: 10.7507/1002-0179.20140510 Copy

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16.	陳功泉,劉琨.體積大于50 mL的前列腺穿刺陽性率與穿刺針數的關系探討[J].微創醫學,2009,4(5):479-480.
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1. 李發友,吳鳳林,龔渭冰.經直腸超聲引導前列腺穿刺活檢技術的研究進展[J].臨床超聲醫學雜志,2009,40(3):181-183.
2. 魏若晶,楊文增,周洪月,等.血清PSA 4~10 μg/L患者前列腺穿刺活檢的臨床意義[J].山東醫藥,2010,50(10):80.
3. Djavan B,Waldert M,Zlotta A,et al.Safety and morbidity of first and repeat transrectal ultrasound guided prostate needle biopsies:results of a prospective European prostate cancer detection study[J].J Urol,2001,166(3):856-860.
4. Tal R,Livne PM,Lask DM,et al.Empirical management of urinary tract infections complicating transrectal ultrasound guided prostate biopsy[J].J Urol,2003,169(5):1762-1765.
5. 那彥群,葉章群,孫穎浩,等.中國泌尿外科疾病診斷治療指南[M].北京:人民衛生出版社,2013:142-143.
6. Heidenreich A,Aus G,Bolla M,et al.EAU guidelines on prostate cancer[J].Eur Urol,2008,53(1):68-80.
7. 吳在德,吳肇漢.外科學[M].7版.北京:人民衛生出版社,2008:694-695.
8. 范海濤,王堯,王凱臣,等.經直腸B超引導下前列腺穿刺活檢在前列腺癌診斷中的應用價值(附658例報告)[J].臨床泌尿外科雜志,2007,25(6):435-437.
9. 徐初亮,李志榮,楊柳平,等.單劑量環丙沙星加甲硝唑預防前列腺穿刺活檢術后感染的臨床觀察[J].醫學臨床研究,2008,25(12):2138-2140.
10. 李巖密,唐杰,費翔,等.經直腸超聲引導前列腺穿刺的感染并發癥及其處理[J].中國醫學影像技術,2009(5):884-886.
11. European Association of Urology.Proslate cancer[M]//European Association of Urology,European Association of Urology Guidelines.Arnhem:2010:1-110.
12. Kang MY,Park JH,Kwak C,et al.Transrectal needle biopsy of the prostate:the efficacy of a prebiopsy enema[J].Korean J Urol,2008,49(3):248-251.
13. Lindert KA,Kabalin JN,Terris MK.Bacteremia and bacteriuria after transrectal ultrasound guided prostate biopsy[J].J Urol,2000,164(1):76-80.
14. Naughton CK,Ornstein DK,Smith DS,et al.Pain and morbidity of transrectal ultrasound guided prostate biopsy:a prospective randomized trial of 6 versus 12 cores[J].J Urol,2000,163(1):168-171.
15. Nam RK,Saskin R,Lee Y,et al.Increasing hospital admission rates for urological complications after transrectal ultrasound guided prostate biopsy[J].J Urol,2010,183(3):963-968.
16. 陳功泉,劉琨.體積大于50 mL的前列腺穿刺陽性率與穿刺針數的關系探討[J].微創醫學,2009,4(5):479-480.
17. Ouzzane A,Puech P,Lemaitre L,et al.Combined multiparametric MRI and targeted biopsies improve anterior prostate cancer detection,staging,and grading[J].Urology,2011,78(6):1356-1362.
18. 楊文增,崔振宇,張偉,等.9+X法直腸超聲引導下經會陰前列腺穿刺活檢420例分析[J].中華男科學雜志,2010,16(7):627-630.

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