首页> 外文期刊>International journal of urology: official journal of the Japanese Urological Association >Effect of periprostatic nerve blockade before transrectal ultrasound-guided prostate biopsy on patient comfort: a randomized placebo controlled study.
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Effect of periprostatic nerve blockade before transrectal ultrasound-guided prostate biopsy on patient comfort: a randomized placebo controlled study.

机译:经直肠超声引导的前列腺穿刺活检前前列腺周围神经阻滞对患者舒适度的影响:一项随机安慰剂对照研究。

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摘要

BACKGROUND: In the present study, we assessed the efficacy and morbidity of periprostatic local anesthesia before transrectal ultrasound (TRUS)-guided biopsy of the prostate. METHODS: From August 2001 to February 2002, 98 patients underwent TRUS-guided prostate biopsy at the Department of 2nd Urology, Ankara Numune Education and Research Hospital, Ankara, Turkey. Ninety patients who fulfilled the inclusion criteria were randomized into three groups of 30 patients each. Group 1 received no local anesthesia, while group 2 received a periprostatic saline injection 5 min before the biopsy and group 3 received periprostatic local anesthesia with 1% lidocaine. Pain-scale responses were analyzed for each aspect of the biopsy procedure using a visual analog scale. RESULTS: There were no differences in pain scores between the three groups during digital rectal examination, intramuscular injection and probe insertion. Mean pain scores during needle insertion in groups 1, 2 and 3 were 5.65 +/- 2.35, 6.25 +/- 2.04and 3.16 +/- 2.14, respectively. There was no significant difference between the pain scores of groups 1 and 2, whereas pain scores decreased significantly in group 3. CONCLUSION: Periprostatic local anesthesia before prostate biopsy is a safe and easy method to increase patient comfort during the procedure.
机译:背景:在本研究中,我们评估了经直肠超声(TRUS)指导的前列腺活检之前前列腺周围麻醉的有效性和发病率。方法:从2001年8月至2002年2月,在土耳其安卡拉安卡拉努姆纳教育与研究医院第二泌尿科对98例患者进行了TRUS引导的前列腺活检。将符合入组标准的90名患者随机分为三组,每组30名患者。第1组未接受局部麻醉,而第2组在活检前5分钟接受了前列腺周围注射盐水,第3组接受了1%利多卡因的前列腺周围局部麻醉。使用视觉模拟量表对活检过程的每个方面的疼痛量表反应进行了分析。结果:在直肠指检,肌内注射和探头插入期间,三组之间的疼痛评分没有差异。在第1、2和3组中,在针插入过程中的平均疼痛评分分别为5.65 +/- 2.35、6.25 +/- 2.04和3.16 +/- 2.14。第1组和第2组的疼痛评分之间无显着差异,而第3组的疼痛评分显着降低。结论:前列腺穿刺前前列腺穿刺局部麻醉是一种安全,简便的方法,可提高手术过程中患者的舒适度。

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