对勃起功能障碍的低强度冲击波治疗方案的变化:文学和治疗指南的文献综述
Solomon Hayon1, Evan J Panken1, Nelson E Bennett2
1Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
The world journal of men's health
|October 19, 2023
概括
低强度冲击波疗法 (LiSWT) 对勃起功能障碍 (ED) 治疗具有前景,大多数研究表明风险低,IIEF分数有所改善. 在ED中LiSWT的最佳治疗方案仍在制定中.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 再生医学是一种再生医学.
背景情况:
- 低强度冲击波疗法 (LiSWT) 越来越多地被认为用于治疗勃起功能障碍 (ED).
- 现有的元分析表明LiSWT通常是安全的,并可能改善国际勃起功能指数 (IIEF) 评分.
- 关于LiSWT的最终临床实用性和ED的标准化治疗方案的争论仍在继续.
研究的目的:
- 审查关于ED治疗LiSWT的已发表的元分析.
- 分析最近随机化模拟对照试验 (RCT) 的治疗方案,用于ED中的LiSWT.
- 介绍有关 LiSWT 患者咨询和治疗的机构经验和见解.
主要方法:
- 对有关LiSWT对ED的元分析进行系统审查.
- 从过去十年发表的RCT中分析治疗参数 (能量,频率,冲击数/位置,会话).
- 描述一个特定的机构方法,以 LiSWT 为ED.
主要成果:
- 通常报告的LiSWT设置包括0.09mJ/mm2的能量和5Hz的频率.
- 一个常见的方案涉及每次1500个冲击 (900个阴茎,600个身体/crura).
- 治疗时间从4次到12次不等.
结论:
- LiSWT在ED治疗中显示出有利的安全性概况.
- 虽然趋势表明IIEF得分有所改善,但最佳协议需要进一步标准化.
- 需要进一步的研究来确定最终的临床效用,并完善对ED的LiSWT协议.
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