前列腺动脉栓塞治疗良性前列腺增生:一个病例报告和综合文献综述
Om Prakash Bhatta1, Rutva Jani2, Akhil Dhanjibhai Kakadiya3
1Department of Anaesthesiology, Tribhuvan University Institute of Medicine, Kathmandu, NPL.
Cureus
|February 10, 2025
概括
前列腺动脉栓塞 (PAE) 有效地治疗了一名患有良性前列腺增生症 (BPH) 和严重下泌尿道症状 (LUTS) 的患者,该患者对药物无反应. 这种微创手术显著缓解了症状,改善了泌尿功能.
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 (BPH) 是一种常见的疾病,导致下泌尿道症状 (LUTS).
- 医学治疗通常是BPH的第一线治疗,但有些患者会出现持续性或耐火性症状.
- 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:
- 报告一个成功的前列腺动脉栓塞 (PAE) 病例,该病例发生在患有医疗耐药良性前列腺增生症 (BPH) 的患者身上.
- 突出PAE在改善下泌尿道症状 (LUTS) 和前列腺体积方面的有效性.
主要方法:
- 一名75岁的男性患有症状的BPH和LUTS,对药物治疗没有反应,经过前列腺动脉栓塞 (PAE).
- 该程序涉及血管栓塞的动脉供应前列腺.
主要成果:
- 患者经历了PAE后的LUTS显著改善.
- 观察到前列腺体积和空虚后残留体积的显著减少.
- 随访时确认了尿液流量的增加和明显的症状减少.
结论:
- 前列腺动脉栓塞 (PAE) 是一种可行且有效的治疗良性前列腺增生症 (BPH) 的患者,严重的下泌尿道症状 (LUTS) 难以接受医疗管理.
- 对于精选的BPH患者,PAE为传统手术提供了一种最小侵入性的替代方案.
- 需要进一步的研究来比较PAE的长期结果与已知的BPH治疗方法.
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