在小体积前列腺中通过尿道蒸发前列腺的结果前列腺:一项前性观察研究
R Dahal1, B Adhikari1, U Mishra1
1Department of Urology, National Academy of Medical Sciences (NAMS), Bir Hospital, Mahaboudha, Kathmandu, Nepal.
Kathmandu University medical journal (KUMJ)
|June 3, 2025
概括
前列腺的双极血蒸发是一种安全有效的微创性治疗,用于小前列腺 (小于40克) 的男性良性前列腺扩大. 这种程序显著改善了症状和尿液流速,并发症最小.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
背景情况:
- 良性前列腺扩大 (BEP) 是老年男性常见的疾病.
- 通过尿道蒸发前列腺 (TVP) 是管理BEP的一种最少的侵入性选择.
研究的目的:
- 在前列腺体积小 (小于40克) 的患者中评估双极血蒸发前列腺的疗效和安全性.
主要方法:
- 一项研究包括40名前列腺体积小于40克的40名患者,需要为BEP进行手术.
- 排除标准包括以前的前列腺手术,尿道狭窄,膀结石或神经性膀.
- 术前和术后的评估包括前列腺大小,血红蛋白,水平,国际前列腺症状评分 (IPSS) 和最大流量 (Qmax).
主要成果:
- 患者平均年龄为66.88岁,平均前列腺大小为32.52克.
- 在IPSS (22到9) 和Qmax (8.4到18.5毫升/分钟) 中观察到显著改善.
- 血红蛋白和的统计学显著下降发生,但没有报告输血或通过尿道切除综合征. 大多数并发症都是轻微的 (Clavien I级),有两例尿道狭窄.
结论:
- 双极性通过尿道的前列腺蒸发是一种有效和安全的治疗前列腺的良性扩大前列腺的前列腺测量小于40克.
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