前列腺动脉栓塞在患有阻抗性下尿路症状的患者中,此前经过最小侵入性手术治疗后
Piyush Goyal1, Ajay K Varadhan1, Kimberly Jenkins1
1Section of Interventional Radiology, Department of Radiology, Northwestern Feinberg School of Medicine, Chicago, Illinois.
Journal of vascular and interventional radiology : JVIR
|February 4, 2024
概括
前列腺动脉栓塞 (PAE) 有效地治疗以前通过微创手术治疗的良性前列腺激增症 (BPH) 患者的下尿路症状 (LUTS). 这种安全的手术显示出显著的症状和生活质量改善,而不会对性功能产生负面影响.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 干预性放射学 干预性放射学
背景情况:
- 良性前列腺增生症 (BPH) 经常导致下泌尿道症状 (LUTS).
- 经过微创手术技术 (MIST) 后耐火或复发的LUTS患者通常需要替代治疗.
- 前列腺动脉栓塞 (PAE) 是BPH管理的一个新兴选择.
研究的目的:
- 为了评估PAE的结果,在BPH相关的LUTSs患者中,这些患者之前接受过MIST.
- 评估PAE作为二次治疗选择的安全性和有效性.
主要方法:
- 一个单一中心的回顾性研究包括16名先前接受过MIST治疗的患者.
- 患者接受了因BPH而难治或复发的LUTS的PAE.
- 包括症状得分,生活质量和性功能在内的结果在PAE后进行了评估.
主要成果:
- 在随访期间没有报告任何不良事件.
- 在国际前列腺症状评分 (IPSS) 和生活质量 (QoL) 评分中观察到显著改善.
- 性功能,包括勃起和射精功能,与MIST后的基线相比,显示无显著变化.
结论:
- PAE是BPH相关的LUTS患者的安全有效治疗方法,这些患者之前曾经接受过MIST.
- 在这种患者群体中,PAE提供了显著的症状缓解,并改善了生活质量,而不会对性功能产生不良影响.
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