探讨经直肠前列腺穿刺并发症的发生及防治措施。

回顾性分析中山大学附属第一医院泌尿外科2012年1月至2016年12月共902例经直肠前列腺穿刺的患者病例资料，分析患者术后并发症发生情况及处理方法。

902例穿刺患者中，发生血尿者270例（29.93％）；发生血便者155例（17.18％），其中直肠出血者19例（占血便的12.26％）；继发感染者46例（5.11％），其中急性附睾炎者4例（占感染的8.70％），感染者中有1例发生穿刺术后败血症导致横纹肌溶解及急性肾损伤；发生血管迷走神经反射者7例（0.78％）。

经直肠前列腺穿刺术技术简单易行、创伤少，但仍有发生并发症的可能，穿刺前的充分合理准备及术后预防均十分重要。

To discuss the occurrence and treatment of complications after transrectal prostatic biopsy.

Nine hundred and two patients underwent transrectal prostatic biopsy from January 2012 to December 2016 were analgzed retrospectively in our hospital. Among the 902 patients, 270 patients were found hematuria (29.93%), 155 patients occurred bloody stool (17.18%) and 19 patients got hemoproctia (12.26% in bloody stool patients), 46 patients had postoperative infections, included 4 patients with acute epididymitis (8.70% in postoperative infected patients). Specially, one of the infected patient deteriorated to septicemia, and rhabdomyolysis and acute kidney injury. In addition, 7 patients had blood vessel vagus reflex (0.78%).

Transrectal prostatic biopsy is a simple, precise and minimal invasive operation, however, there may be some complications. Preoperative preparation and postoperative treatment were of great importance in preventing complications.