经直肠与经会阴前列腺癌穿刺活检的检出率及安全性比较

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Abstract Objective To investigate the detection rate and safety of transrectal and transperineal puncture biopsy for prostate cancer. Methods Retrospective analysis was performed on 80 patients undergoing transrectal prostate puncture biopsy (transrectal group) and 80 patients undergoing transperineal prostate puncture biopsy (transperineal group) admitted to the Department of Urology, Liyang Branch of Jiangsu Provincial People’s Hospital from May 2015 to January 2020 were selected. The general data, the detection rate of prostate cancer, the occurrence of complications, and the perioperative conditions of prostate cancer patients undergoing radical resection were compared between two groups. Results There were no significant differences in age, body mass index, longest nodules meridian, number of nodules, prostate volume, total prostate specific antigen, Gleason score, number of puncture needles, number of positive puncture needles and number of unqualified samples between two groups (P > 0.05). The puncture time in transperineal group was longer than that in transrectal group (P < 0.01). There was no significant difference in the detection rate of prostate cancer between two groups (P ＞ 0.05). The incidence of total complications in transperineal group was lower than that in transrectal group (P < 0.01). The interval of puncture to radical operation, radical operation time in transperineal group were shorter than those in transrectal group, and intraoperative blood loss, intraoperative prostate tissue adhesion rate were lower than those in transrectal group (P < 0.05 or P < 0.01). Conclusion Compared with transrectal prostate cancer puncture biopsy, transperineal puncture biopsy has higher safety and less negative impact on radical surgery.

Key words： Transrectal Transperineal Prostate cancer Puncture Biopsy Safety

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	JIANG Ke HANG Zhenyu MA Hongxiang WU Ming

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JIANG Ke HANG Zhenyu MA Hongxiang WU Ming. Comparison of the detection rate and safety of transrectal and transperineal puncture biopsy for prostate cancer[J]. 中国医药导报, 2021, 18(14): 103-106.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I14/103

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