相关实验视频

Updated: Jan 11, 2026

Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance

Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance

Published on: June 6, 2025

周围探:对跨直肠与跨周围前列腺活检中的并发症进行比较研究

Jacob Chircop St John¹, Luke Borg¹, Alexander Carachi²

¹Surgery, Mater Dei Hospital, Msida, MLT.

|November 19, 2025

概括

通过腹膜前列腺活检 (TPPB) 与通过直肠前列腺活检 (TRPB) 相比,显著减少了像前列腺炎这样的传染性并发症. TPPB消除了败血症,支持其作为前列腺癌诊断的更安全标准的使用.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
传染性疾病传染性疾病
在瘤学瘤学.

背景情况:

跨直肠前列腺活检 (TRPB) 是一种常见的前列腺癌诊断工具,但由于直肠菌群存在感染风险.
跨周围前列腺活检 (TPPB) 避免了直肠粘膜,可能降低感染性并发症.
这项研究评估了TRPB和TPPB之后的感染率和住院时间.

研究的目的:

为了比较TRPB和TPPB之间的活检后感染率 (前列腺炎,败血症) 和住院时间 (LOS).
确定TPPB是否为诊断前列腺癌提供了TRPB更安全的替代方案.
评估不同前列腺活检技术的临床结果.

主要方法:

在Mater Dei医院进行了回顾性队列研究,比较TRPB (2022) 和TPPB (2024).
分析结果包括前列腺炎,败血症 (败血症-3标准) 和LOS.
统计分析使用了Chi-square,Fisher的精确,Welch的t测试,以及使用Microsoft Excel的Mann-Whitney U测试.

主要成果:

TRPB的前列腺炎率为5.6% (10/177),而TPPB的0.9% (2/231),这是一个显著的差异 (p=0.0046).
没有TPPB患者患有败血症,而TRPB败血症的结果没有详细说明,但暗示更高.
中位数LOS相似:TRPB的六天与TPPB的五天相比,在统计学上没有显著意义.

结论:

与TRPB相比,TPPB的感染并发症显著减少.
与TRPB不同的是,TPPB在这个队列中有效消除了败血症.
跨腹膜路线被认为是前列腺活检的更安全的护理标准.

关键词:

并发症可能导致并发症.前列腺癌是前列腺癌.在前列腺炎前列腺炎.已经有了血症.穿越关节的活检通过直肠进行活检.

更多相关视频

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Published on: May 9, 2018

相关概念视频

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...