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Updated: Apr 30, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
在前列腺动脉栓塞 (PAE) 后,经尿道前列腺隔离/片段和阴茎大的无血管性亡
S E Sönksen1,2, D Rothfuchs1, N Mertineit1
1Catholic Marienkrankenhaus Hamburg, Institut for Diagnostic and Interventional Radiology, Germany.
前列腺动脉栓塞 (PAE) 为良性前列腺增生提供了最少的侵入性选择. 虽然有效, 但这一案例突出了罕见但严重的并发症需要谨慎管理和解剖意识.
科学领域:
- 尿道病学
- 干预性放射学
- 外科病理学
背景情况:
- 良性前列腺增生 (BPH) 是老年男性常见的疾病,通常导致下泌尿道症状 (LUTS).
- 前列腺动脉栓塞 (PAE) 已成为大量BPH的最小侵入性治疗选择,为传统的手术提供了替代方案.
- 虽然PAE通常与低发病率有关,但了解潜在的罕见并发症对于患者的安全至关重要.
研究的目的:
- 报告双边前列腺动脉栓塞 (PAE) 的病例,以表现出症状的大容量良性前列腺增生 (BPH).
- 详细介绍PAE后出现罕见并发症的患者的治疗方法和结果.
- 强调技术精度和解剖学知识在预防和管理PAE相关不良事件中的重要性.
主要方法:
- 一个病例报告详细介绍了患有LUTS和BPH引起的急性尿的患者的治疗.
- 患者接受了双边PAE作为一种微创治疗方法.
- 临床过程,并发症,组织学发现和成像后续记录.
主要成果:
- 在双边PAE后成功缓解尿路症状.
- 发生罕见的并发症,包括死,尿路感染,前列腺炎和尿路炎,所有这些并发症都得到了成功治疗.
- 组织学检查证实前列腺组织衰老;随访MRI显示前列腺中枢缺陷没有长期后果.
结论:
- 双边PAE可以有效治疗大量BPH,即使在急性尿的情况下.
- 临床医生必须了解罕见但严重的并发症,如死和尿.
- 精细的手术技术和对前列腺血管解剖学的彻底了解对于确保PAE的安全性和有效性至关重要.
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