前列腺动脉栓塞作为良性前列腺增生症的最小侵入性治疗方法:最新的系统性审查
Corrado Ini'1, Tiziana Vasile2, Pietro Valerio Foti2,3,4
1Radiology I Unit, University Hospital Policlinico "G. Rodolico-San Marco", Via Santa Sofia 78, 95123 Catania, Italy.
Journal of clinical medicine
|May 11, 2024
概括
前列腺动脉栓塞 (PAE) 对良性前列腺增生 (BPH) 的传统手术提供了与传统手术相比的改善生活质量. PAE显示出有利的安全性,并发症较少,治疗下泌尿道症状 (LUTS) 的成本较低.
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
- 医疗技术 医疗技术 医学技术
背景情况:
- 良性前列腺增生症 (BPH) 显著损害症状男性的生活质量.
- 与BPH相关的下尿路症状 (LUTS) 越来越多地通过各种干预措施来管理.
- 前列腺动脉栓塞 (PAE) 已成为潜在的内血管治疗选择.
研究的目的:
- 系统地审查和分析内血管BPH治疗的技术和临床结果.
- 为了比较PAE的疗效和安全性与传统的外科手术程序,如TURP.
- 评估PAE作为BPH患者LUTS的治疗选择.
主要方法:
- 对1225篇最初选择的文章进行系统的文献审查.
- 包含和排除标准适用于七项相关研究.
- 从718名男性患者 (408名PAE,310名TURP) 收集和分析数据.
主要成果:
- PAE技术成功率在86%至100%之间.
- 在12个月的时间里,PAE和TURP都在IPSS和生活质量得分上表现出了可比的改善.
- PAE的住院时间和成本较低,并发症明显较少 (35.5%对TURP的60.6%).
结论:
- PAE是一种新兴的,微创性治疗BPH.
- PAE提供了与TURP相比较的生活质量和症状缓解.
- 证据支持PAE的有效性和安全性,用于管理由BPH引起的LUTS.
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