Effect of patient position on pain scales during transrectal ultrasound-guided prostate biopsy.

Yeong Uk Kim, Yoon Seob Ji, Young Hwii Ko, Phil Hyun Song
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引用次数: 2

Abstract

Purpose: Transrectal ultrasound (TRUS)-guided prostate biopsy is the most useful technique for the diagnosis of prostate cancer; however, many patients describe the procedure as uncomfortable and painful. We investigated the effect of the patient's position on pain scales during TRUS-guided prostate biopsy.

Materials and methods: Between July 2012 and June 2013, a total of 128 consecutive patients who underwent TRUS-guided prostate biopsy were included in this study. Seventy patients underwent the procedure in the lithotomy position performed by a urologist and the other patients (n=58) underwent the procedure in the left lateral decubitus (LLD) position performed by a radiologist. Pain was assessed by using visual analogue scale (VAS) scores from 0 to 10. Using a linear regression model, we analyzed the correlation between pain scale score and clinical variables with a focus on patient position.

Results: No significant differences related to age, body mass index, prostate volume, prostate-specific antigen (PSA), hematuria, pyuria, International Prostate Symptom Score, or the cancer detection rate were observed between the lithotomy and the LLD groups. In the correlation analysis, VAS score showed a significant correlation with diabetes mellitus, PSA level, and lithotomy position (p<0.05). In the multiple linear regression model, VAS score showed a significant correlation with lithotomy position (β=-0.772, p=0.003) and diabetes mellitus (β=-0.803, p=0.033).

Conclusions: We suggest that the lithotomy position may be the proper way to reduce pain during TRUS-guided prostate biopsy.

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经直肠超声引导下前列腺活检患者体位对疼痛分级的影响。
目的:经直肠超声(TRUS)引导下的前列腺活检是诊断前列腺癌最有用的技术;然而,许多患者认为这个过程很不舒服,很痛苦。我们研究了在超声引导下前列腺活检时患者体位对疼痛量表的影响。材料与方法:2012年7月至2013年6月,本研究共纳入128例连续行超声引导前列腺活检的患者。70名患者接受了泌尿科医生的取石位手术,其他患者(n=58)接受了放射科医生的左侧卧位手术。疼痛采用视觉模拟评分法(VAS)评分0 ~ 10分。使用线性回归模型,我们分析了疼痛量表评分与临床变量之间的相关性,重点是患者体位。结果:取石组与LLD组在年龄、体重指数、前列腺体积、前列腺特异性抗原(PSA)、血尿、脓尿、国际前列腺症状评分、癌检出率等方面均无显著差异。在相关分析中,VAS评分与糖尿病、PSA水平、取石体位有显著相关性(p)。结论:取石体位可能是超声引导下前列腺活检时减轻疼痛的合适方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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