| 李岩密,唐杰,费翔,徐丽,张舜欣,杨敬春.经直肠超声引导前列腺穿刺的感染并发症及其处理[J].中国医学影像技术,2009,25(5):884~886 |
| 经直肠超声引导前列腺穿刺的感染并发症及其处理 |
| Infectious complications and treatment in transrectal ultrasound-guided prostate biopsies |
| 投稿时间：2008-08-27 修订日期：2009-02-10 |
| DOI： |
| 中文关键词: 腔内超声检查 前列腺 活组织检查,针吸 感染 |
| 英文关键词:Endosonography Prostatic Biopsy, fine-needle Infection |
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| 中文摘要: |
| 目的 探讨经直肠超声(TRUS)引导前列腺穿刺活检引起的感染并发症及其处理方法。方法 回顾性分析1006例次TRUS引导前列腺穿刺活检引起的31例感染并发症患者的临床资料。 结果 31例患者中单纯发热患者25例,穿刺前体温(38.90±0.92)℃,白细胞计数(6.68±1.83)×109/L,中性粒细胞百分比为(63.36±9.09)%,16例通过静脉注射喹喏酮类抗生素、9例通过口服诺氟沙星和甲硝唑于(4.8±2.6)d体温恢复正常。另有3例被确诊为急性前列腺炎,穿刺前白细胞计数(4.43±1.75)×109/L,中性粒细胞百分比为(78.35±21.08)%,体温(39.20±1.10)℃,注射喹喏酮类抗生素后3~5 d退热,下腹不适症状于10~16 d得以缓解。穿刺后出现附睾炎者3例,体温均低于37.5℃。穿刺前白细胞计数(6.55±1.46)×109/L,中性粒细胞百分比为(68.33±8.74)%,1例通过对症治疗症状缓解,2例行睾丸切除术。 结论 服用喹喏酮类抗生素及甲硝唑可以有效地治疗、预防由TRUS引导前列腺穿刺活检引起的感染并发症。 |
| 英文摘要: |
| Objective To investigate the infectious complications following transrectal ultrasound (TRUS) guided prostatic biopsy and its treatment. Methods Thirty-one cases underwent TRUS guided prostatic biopsy presented infectious complications, their data were analyzed retrospectively. Results Fever affected 25 patients with the temperature of (38.90±0.92)℃. Before biopsy the white blood cell count (WBC) was (6.68±1.83)×109/L, neutrophil was (63.36±9.09)%. Among them 16 patients were treated with quinolone, 9 with norfloxacin and arilin orally. After (4.8±2.6) d, the temperature came to normal. Acute prostatitis occurred in 3 patients and they were treated with quinolone. Before biopsy the WBC was (4.43±1.75)×109/L, neutrophil was (78.35±21.08)%. Epididymitis occurred in 3 patients. Before biopsy the WBC was (6.55±1.46)×109/L, neutrophil were (68.33±8.74)%. One case was treated with symptomatic treatment and two cases were treated with orchiectomy. Conclusion Infectious complications occurring after TRUS guided prostatic biopsy can be treated and prevented using quinolone and ailin. |
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