前列腺动脉栓塞治疗良性前列腺增生:一项回顾性单中心研究
Rupam Deori1, Diwakar Neelakandan2, Shivakumar M Algud1
1Urology, Kerala Institute of Medical Sciences (KIMSHEALTH), Thiruvananthapuram, IND.
Cureus
|December 6, 2024
概括
前列腺动脉栓塞 (PAE) 在印度男性中有效治疗良性前列腺激增症 (BPH),在三个月内显著改善尿路症状和生活质量. 这种微创手术为管理BPH提供了安全和有益的选择.
科学领域:
- 干预性放射学 干预性放射学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
背景情况:
- 良性前列腺增生 (BPH) 是一种常见的疾病,影响老年男性,导致下泌尿道症状 (LUTS).
- 传统的BPH治疗方法可能会产生显著的副作用,导致需要替代疗法.
- 前列腺动脉栓塞 (PAE) 是BPH的一个新兴的微创治疗选择.
研究的目的:
- 评估PAE在被诊断为BPH的印度患者的疗效和短期结果.
- 评估PAE对国际前列腺症状评分 (IPSS),生活质量 (QoL),前列腺体积和空洞后残留体积 (PVR) 的影响.
主要方法:
- 在2019年1月至2023年6月期间接受PAE的25名BPH男性患者的回顾性分析.
- 使用IPSS和QoL问卷评估患者的症状;通过腹腔超声波测量前列腺和PVR体积.
- 在有意识的镇静下使用聚乙烯醇 (PVA) 颗粒进行PAE;在三个月的随访中评估结果.
主要成果:
- 观察到IPSS (平均10.44±2.91) 和QoL得分 (平均1.80±0.81) 的显著降低.
- 前列腺体积平均减少了43% (49.40 ± 24.13 cc) 和PVR体积减少了52% (70.08 ± 39.85 mL).
- 在三个月的随访期间,所有观察到的改善都具有统计学意义 (p < 0.001).
结论:
- 在研究的印度患者队列中,PAE是一种安全有效的BPH治疗方法.
- 该程序显示了有利的短期结果,显著缓解下尿路症状.
- PAE代表了一种可行的治疗选择,用于管理良性前列腺增生.
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