前列腺动脉栓塞治疗良性前列腺增生:对临床结果的回顾性单中心研究
Jon Bjarnason1, Johann Pall Ingimarsson2, Hjalti Thorisson3
1Department of Radiology, Landspitali University Hospital, Reykjavik, Iceland; Department of Interventional Radiology, Landspitali University Hospital, Reykjavik, Iceland. jonbjarnason92@gmail.com.
Scandinavian journal of urology
|July 10, 2025
概括
前列腺动脉栓塞 (PAE) 有效地治疗良性前列腺激增症 (BPH) 症状和尿路保留. 这种安全的手术显著改善了生活质量,并减少了BPH男性的导管依赖.
科学领域:
- 干预性泌尿器科 干预性泌尿器科
- 血管干预放射学 血管干预放射学
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).
- 前列腺动脉栓塞 (PAE) 是BPH的新兴微创治疗方法.
研究的目的:
- 评估冰岛PAE的临床结果和并发症,用于BPH管理.
- 用国际前列腺症状评分 (IPSS),生活质量 (QoL) 和导管自由度来评估临床成功.
主要方法:
- 对34名为BPH接受PAE的患者进行了回顾性单中心研究 (2019年8月 - 2024年2月).
- 通过问卷 (LUTS,QoL,导管状态) 和医疗记录收集的数据.
- 分析了技术成功率和并发症率.
主要成果:
- 在PAE方面,技术成功率高 (91%).
- 观察到的显著改善:平均IPSS从20.0降至9.0 (p < 0.001),QOL得分从5.5降至1.8 (p < 0.001).
- 尿导管依赖性减少了69% (p < 0.001);并发症很少 (3/34) 并没有长期影响而消失.
结论:
- 在患有BPH的男性中,PAE是对LUTS和尿的有效和安全治疗方法.
- PAE可显著改善泌尿系统症状和生活质量.
- PAE为BPH患者提供了导管自由.
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