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用来进行前列腺动脉栓塞治疗老年患者良性前列腺增生:三年后的结果

Antonio Vizzuso¹, Maria Vittoria Bazzocchi¹, Mara Bacchiani^2,3

¹Radiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.

La Radiologia medica

|November 18, 2025

概括

使用的前列腺动脉栓塞 (PAE) 是对良性前列腺增生症 (BPH) 的安全有效的微创治疗方法. 这种程序为老年患者提供了持续的长期效果,其中包括下尿路症状或尿.

科学领域:

干预性放射学干预性放射学
泌尿器科泌尿器科泌尿器科泌尿器科
血管外科血管外科

背景情况:

良性前列腺增生症 (BPH) 是老年男性常见的疾病,导致下泌尿道症状 (LUTS).
慢性尿常常需要使用内置导管 (IUC).
对于老年患者或患有并发症的患者来说,BPH的传统手术治疗可能会带来重大风险.

研究的目的:

评估前列腺动脉栓塞 (PAE) 的临床疗效和安全性,使用n-丁烯酸 (NBCA) 粘合剂.
在因阻塞而经历LUTS的BPH患者中评估PAE.
为了确定PAE在慢性尿患者的有效性,用IUC进行管理.

主要方法:

一组101名患者 (平均年龄79岁) 在2021年至2024年期间用NBCA接剂进行了PAE.
该研究包括67名LUTS患者和34名IUC患者.
临床成功被定义为国际前列腺症状评分 (IPSS) 和生活质量 (QoL) 评分的显著改善,或成功的导管切除.

主要成果:

技术成功率为100%,其中93%实现了双边栓塞.
在92.5%的症状患者中观察到临床成功,36个月后IPSS和QoL得分的长期显著降低.
73.5%的IUC患者恢复了自发排泄,平均前列腺体积减少了37.6%.
所有报告的并发症 (13.9%) 都是轻微的,并以保守的方式进行管理.

结论:

带有烯酸的PAE是BPH管理的安全有效的微创替代方案.
该程序证明了持续的长期疗效,使其适用于老年患者或不适合进行手术的患者.
在BPH患者中,PAE为LUTS和慢性尿提供了可行的治疗选择.

关键词:

粘合剂粘合剂粘合剂住房内导管管道的内部导管干预性放射学是干预性的放射学.下泌尿道的症状下泌尿道的症状前列腺动脉栓塞的前列腺动脉栓塞.

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