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在脆弱和老年患者中进行前列腺动脉栓塞,这些患者有内置膀导管

Davide Campobasso¹, Pietro Brambillasca², Antonio De Cinque³

¹Urology Department, University Hospital of Parma, 43126 Parma, Italy.

Archivos espanoles de urologia

|October 20, 2025

概括

前列腺动脉栓塞 (PAE) 为由于良性前列腺阻塞 (BPO) 造成的内置膀导管 (IBC) 的脆弱患者提供了一种安全的,最小侵入性的选择. 这种手术在一年后成功切除了66.2%的患者的导管,改善了他们的生活质量.

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
老年医学老年医学

背景情况:

持久性膀导管 (IBC) 的脆弱患者面临高发病率和降低生活质量.
对这些患者来说,主要的目标是去除导管,避免手术压力和长时间住院.
良性前列腺阻塞 (BPO) 是老年并发症患者中IBC的常见原因.

研究的目的:

为了评估前列腺动脉栓塞 (PAE) 的有效性和安全性,在脆弱的病人与IBC二次的BPO谁是不适合进行手术.
评估PEE后成功切除导管和持续无导管治疗的比例.

主要方法:

74名因BPO而患有IBC的脆弱患者的回顾性审查,不适合手术,他们在三个中心接受了PAE.
患者被分为成功的 (A组) 或不成功的 (B组) 导管切除1年后.
分析包括患者人口统计,并发症指数,前列腺体积,手术结果,并发症和导管持续时间.

主要成果:

一年后,66.2% (49/74) 的患者成功摆脱了导管.
没有PAE失败被归因于血管解剖学;并发症率很低 (11.2%对8.3%).
术后较长的初始导管持续时间与成功的导管切除有显著的相关性 (OR=0.91).

结论:

PAE是一种安全有效的微创性治疗 BPO 在老年,脆弱的患者与IBC.
该程序显示出良好的安全性,成功与术后导管管理相关.
仔细的患者选择和咨询对于优化这种高风险人群的结果至关重要.

关键词:

导管导管是指导管的导管.并发症可能导致并发症.脆弱的老年人脆弱的老年人居住在室内的地方.前列腺动脉栓塞的前列腺动脉栓塞

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