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在BPH的非常老年男性中进行Rezūm治疗:来自多中心队列的两年结果

Mario Henrique Bitar Siqueira¹, Sagi Shprits¹, Naeem Bhojani²

¹Division of Urology, Department of Surgery, University of Toronto, Toronto, Canada.

Lower urinary tract symptoms

|December 29, 2025

概括

雷祖水蒸气热疗法为80岁以上男性的良性前列腺增生症 (BPH) 提供安全有效的治疗方法. 这种微创手术可长期改善尿路症状和功能,并发症率低.

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
老年医学老年医学

背景情况:

雷祖水蒸气热疗法是对良性前列腺增生 (BPH) 进行的一种成熟的微创治疗方法.
有限的现实世界数据存在于80岁及以上的男性中Rezūm治疗的2年结果.

研究的目的:

评估Rezūm水蒸气热疗法在80岁及以上BPH男性的2年安全性和有效性.
评估国际前列腺症状评分 (IPSS) 的变化,IPSS生活质量 (QoL) 子评分,尿流量峰值 (Qmax) 和空洞后残留体积 (PVR).

主要方法:

在国际注册表数据库中进行了前性注册表研究.
分析了接受Rezūm治疗的58名80岁以上的男性的数据.
患者在基线和3,6,12和24个月后被评估症状得分,尿液流速和残留体积.

主要成果:

在24个月后,平均IPSS (19.8至12.4) 和IPSS QoL分数 (4.2至2.6) 显著改善.
在24个月内,平均Qmax从8.5升至15.0毫升/秒,平均PVR从115.5升降至42.8毫升.
不良事件很少发生,包括尿路感染 (8.6%),皮膜炎 (5.2%) 和急性尿 (3.4%),仅有一次住院治疗.

结论:

雷祖水蒸气热疗法是老年男性 (≥80岁) BPH 的安全有效治疗选择.
该疗法在下泌尿道症状和功能结果方面表现出持久的改善.
该程序与这种特定患者群体中不良事件的发病率较低有关.

关键词:

良性前列腺增生症良性前列腺增生症年长的病人,老年患者.功能性结果的结果.下泌尿道的症状下泌尿道的症状最少侵入性的外科治疗 (MIST)水蒸气热疗法是一种水蒸气热疗法.

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