[1]程云 夏桃林 黎辉欣 吴振权 林哲 李辽源.两种肠道管理下前列腺穿刺并发症和血清高敏 C反应蛋白变化的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(03):211-214.[doi:10.3877/cma.j.issn.1674-3253.2015.03.013 ]
 Cheng Yun,Xia TaoLin,Li Huixin,et al.A comparative study on complications and serum high sensitive C-reactive protein changes between two methods of enema in preparation for prostate biopsy[J].,2015,(03):211-214.[doi:10.3877/cma.j.issn.1674-3253.2015.03.013 ]
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两种肠道管理下前列腺穿刺并发症和血清高敏 C反应蛋白变化的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年03期
页码:
211-214
栏目:
临床研究
出版日期:
2015-12-29

文章信息/Info

Title:
A comparative study on complications and serum high sensitive C-reactive protein changes between two methods of enema in preparation for prostate biopsy
作者:
程云 1夏桃林 1黎辉欣 1吴振权 1林哲 1李辽源 2
528000 广东,佛山市第一人民医院泌尿外科1;510630 广州,中山大学附属第三医院泌尿外科2
Author(s):
Cheng Yun1 Xia TaoLin1 Li Huixin1 Wu ZhenQuan1 Lin Zhe1 Li Liaoyuan2.
Department of Urology, the First People's Hospital of Foshan, Guangdong 528000(,)China; 2Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
前列腺活检术灌肠并发症感染 C反应蛋白
DOI:
10.3877/cma.j.issn.1674-3253.2015.03.013
摘要:
目的比较两种肠道管理行超声引导下前列腺穿刺术并发症发生率和术后血清高敏 C反应蛋白水平变化。方法将 2013年 1月至 2014年 12月广东省佛山市第一人民泌尿外科可疑前列腺癌并行前列腺穿刺活检患者 383例随机分为 A、B两组, A组( n=192)穿刺前晚及穿刺晨用 0.1%~0.2%肥皂水 500~800 ml清洁灌肠;B组( n=191)术前晚无须清洁灌肠,仅使用磷酸钠盐灌肠液保留灌肠,术前 1h进行 0.1%~0.2%肥皂水 500~800 ml清洁灌肠,排清水便即可。两组术前及术后 1d, 3d,5d测定血清高敏 C反应蛋白水平;比较两组术后并发症率。结果 A组发生并发症患者 70例(35.2%),发热( T>38℃)伴寒战 8例( 4%); B组发生并发症患者 62例( 32.5%),发热( T>38℃)8例,出现寒战 6例( 3.1%),两组术后并发症发生率差别无统计学意义( P均 >0.05);两组术后 1d,3d,5d血清高敏 C反应蛋白水平变化趋势一致,各时间节点血清高敏 C反应蛋白值差别无显著统计学意义(P均 >0.05)。结论穿刺术前晚磷酸钠盐灌肠液保留灌肠可取代 0.1%~0.2%肥皂水 500~800 ml清洁灌肠。

参考文献/References:

[1] Siegel RL, Miller KD, Jemal A. Cancer statistics, 2015 [J].CA Cancer J Clin, 2015, 65(1): 5-29.
[2] Zhang L, Wu S, Guo LR, et al. Diagnostic strategies and the incidence of prostate cancer: reasons for the low reported incidence of prostate cancer in China[J]. Asian J Androl, 2009, 11 (1): 9-13.
[3] Li K, Chen MK, Li LY, et al. The predictive value of semaphorins 3 expression in biopsies for biochemical recurrence of patients with low-and intermediate-risk prostate cancer [J]. Neoplasma, 2013, 60(6): 683-689.
[4] Abughosh Z, Margolick J, Goldenberg SL, et al. A prospective randomized trial of povidone-iodine prophylactic cleansing of the rectum before transrectal ultrasound guided prostate biopsy [J]. J Urol, 2013, 189(4): 1326-1331.
[5] Loeb S, Carter HB, Berndt SI, et al. Complications after prostate biopsy: data from SEER-Medicare [J]. J Urol, 2011, 186 (5): 1830-1834.
[6] Aron M, Rajeev TP, Gupta NP. Antibiotic prophylaxis for transrectal needle biopsy of the prostate: a randomized controlled study[J]. BJU Int, 2000, 85(6): 682-685.
[7] Gao X, Li LY, Zhou FJ, et al. ERG rearrangement for predicting subsequent cancer diagnosis in high-grade prostatic intraepithelial neoplasia and lymph node metastasis [J]. Clin Cancer Res, 2012, 18(15): 4163-4172.
[8]钟山 ,巢月根 ,黄国华 ,等.前列腺穿刺活检的抗菌药物应用[J].同济大学学报:医学版, 2003, 24(1): 61-61, 68.
[9] Carignan A, Roussy JF, Lapointe V, et al. Increasing risk of infectious complications after transrectal ultrasound-guided prostate biopsies: time to reassess antimicrobial prophylaxis? [J]. Eur Urol, 2012, 62(3): 453-459.
[10] Loeb S, Van Den Heuvel S, Zhu X, et al. Infectious complications and hospital admissions after prostate biopsy in a European randomized trial[J]. Eur Urol, 2012, 61(6): 1110-1114.
[11] Haverkate F, Thompson SG, Pyke SD, et al. Production of C-reactive protein and risk of Coronary events in stable and unstable angina[J]. Lancet, 1997, 349(950): 462-466.
[12] Choi WS, Lee WK, Lee SH, et al. Is high-sensitivity C-reactive protein associated with lower urinary tract symptoms in aging men? Results from the hallym aging study [J]. Korean J Urol, 2012, 53(5): 335-341.
[13] McCormack JP, Allan GM. Measuring hsCRP--an important part of a comprehensive risk profile or a clinically redundant practice? [J]. PLoS Med, 2010, 7(2): e1000196.
[14] Larsson A, Hansson LO. Evaluation of a modified hsCRP method for point-of-service testing [J]. Clin Chim Acta, 2003, 334(1/2): 249-252.
[15]边炜,史本康,徐祗顺.经直肠前列腺穿刺活检并发症分析及其 防治[J]. 中国男科学杂志, 2006, 20(8): 42-44.
[16] Lu Z, Gao Y, Tan A, et al. Increased high-sensitivity C-reactive protein predicts a high risk of lower urinary tract symptoms in Chinese male: Results from the Fangchenggang Area Male Health and Examination Survey[J]. Prostate, 2012, 72(2): 193-200.

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备注/Memo

备注/Memo:
基金项目:2015 年佛山市医学科研基金项目(2015126)
通讯作者:李辽源,Emali:liliao10318023@126.com
更新日期/Last Update: 1900-01-01