Propofol 정맥마취 하에 시행한 경직장 전립선조직생검의 유효성과 안전성
Efficacy and Safety of Intravenous Propofol Anesthesia during Transrectal Ultrasound-Guided Prostate Biopsy
차경석, 이승욱, 조정만, 강정윤, 유탁근,
소속 상세정보
차경석 ( Cha Kyung-Suk )
을지대학교 의과대학 을지병원 비뇨기과학교실
이승욱 ( Lee Seung-Wook )
을지대학교 의과대학 을지병원 비뇨기과학교실
조정만 ( Cho Jeong-Man )
을지대학교 의과대학 을지병원 비뇨기과학교실
강정윤 ( Kang Jung-Yoon )
을지대학교 의과대학 을지병원 비뇨기과학교실
유탁근 ( Yoo Tag-Keun )
을지대학교 의과대학 을지병원 비뇨기과학교실
KMID : 0358320090500080757
Abstract
Purpose: Transrectal ultrasonography (TRUS)-guided prostate biopsy causes fear and pain in 65% to 90% of patients. This study was designed to evaluated the use of intravenous propofol anesthesia during TRUSguided prostate biopsy.
Materials and Methods: Between January 2006 and June 2008, 195 men undergoing a transrectal prostate biopsy were divided into 2 groups according to anesthetic technique. Group A consisted of 99 patients who received intravenous propofol infusion through an 18 gauge needle during TRUS-guided prostate biopsy. Group B consisted of 96 patients who intrarectally received 10 ml of 2% lidocaine gel 10 minutes before TRUSguided prostate biopsy. Pain scores were assessed on a visual analogue scale immediately after prostate biopsy.
Results: The pain score was significantly reduced in group A compared with group B. There was a significant difference in the mean pain score between the 2 groups (1.0±1.3 in group A versus 2.9±2.0 in group B; p＜ 0.01). Also, there was a significant difference in the willingness to undergo rebiopsy between the 2 groups (83.8% in group A versus 17.7% in group B; p＜0.01). However, the complication rates were not significantly different between the 2 groups. Gross hematuria was found in 14% of group A patients and 18% of group B patients.
Conclusions: Our results proved the advantage of intravenous propofol anesthesia during TRUS-guided prostate biopsy. Intravenous propofol infusion can be a safe and simple technique that significantly reduces pain during TRUS-guided prostate biopsy.
키워드
Prostate;Biopsy;Pain;Propofol
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