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前列腺体积:它能预测前列腺动脉栓塞后患者的结果吗? 一个回顾性队列研究

Robert Wise¹, Howell Fu², Charles Ross Tapping²

¹Department of Radiology, Oxford University Hospitals NHS Foundation Trust John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, United Kingdom. robert.wise@ouh.nhs.uk.

CVIR endovascular

|June 27, 2024

概括

前列腺动脉栓塞 (PAE) 有效地治疗下尿路症状. 这项研究发现,前列腺体积不应该排除患者的PAE,因为无论前列腺大小,结果都是相似的.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性手术的方法
医疗成像医学成像

背景情况:

良性前列腺增生后的下泌尿道症状 (LUTS) 通常用前列腺动脉栓塞 (PAE) 治疗.
对PAE的患者选择通常依赖于主观的国际前列腺症状得分 (IPSS),通常考虑客观的前列腺体积,但缺乏严格的门.
一个普遍的共识表明前列腺体积超过40-50毫升是适合PAE.

研究的目的:

与前列腺体积较小 (小于51毫升) 的患者相比,研究PAE在前列腺体积较小 (51毫升以下) 的患者的疗效.
确定前列腺体积是否是一个可靠的标准来排除患者的PAE.

主要方法:

在2017年至2019年期间在教学医院进行的65例PAE病例的回顾性分析.
从初始CT扫描中使用"子弹形状"模型估计的前列腺体积.
IPSS记录在手术前和手术后3个月;患者被分为<51mL和>51mL组.

主要成果:

80%的患者对PAE有有益的反应 (IPSS改善>5).
在<51毫升 (10.2) 和>51毫升 (11) 队列 (p=0.44) 之间,平均IPSS改善没有统计学上显著的差异.
23%的患者需要重复手术或重复手术;没有报告重大并发症.

结论:

前列腺体积不应该成为PAE的排除标准.
在前列腺体积较小的患者中,PAE在改善LUTS方面表现出相似的有效性.
进一步的研究可能会细化患者选择标准,超出前列腺大小.

关键词:

下泌尿道的症状下泌尿道的症状前列腺动脉栓塞发生前列腺动脉栓塞.前列腺大小前列腺大小前列腺体积的前列腺体积.

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