中间叶的情况. 如何最好地应对这一挑战:系统审查和专家指导
Aamer Alghamlas1,2, Othmane Zekraoui2, Thomas R W Herrmann3
1Division of Urology, Department of Surgery, Université de Montréal Health Center, Montreal, QC, Canada.
World journal of urology
|January 19, 2026
概括
像HoLEP和TURP这样的内镜治疗为良性前列腺增生 (BPH) 提供了良好的结果,中叶扩大. 对于这种情况,不建议使用Optilume和iTIND等程序.
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
背景情况:
- 良性前列腺增生症 (BPH) 是老年男性常见的疾病.
- 扩大的中叶叶对内镜管理提出了独特的挑战.
- 对中叶叶扩大BPH的最佳治疗策略需要仔细考虑.
研究的目的:
- 评估各种内镜治疗BPH的疗效和结果,特别是在中叶扩大的患者中.
- 根据外科手术期间的数据和患者的结果,比较不同的外科手术技术.
主要方法:
- 按照乔安娜·布里格斯研究所 (JBI) 和PRISMA的指导方针进行了系统的文献搜索.
- 在2010年至2025年2月期间发表的研究被包括在内,如果它们涉及BPH的内镜治疗与扩大的中叶.
- 关于术后参数和患者结局的数据被描述性地总结.
主要成果:
- 其中包括17项研究,评估了前列腺的霍尔激光核化 (HoLEP),Rezūm,GreenLight光蒸发,Aquablation,UroLift和前列腺的通过尿道切除 (TURP).
- 当选择性地准中叶时,前列腺和TURP的Holmium激光核切除显示出与节和射精的最小侵入性方法相似的结果.
- 不一致的报告和对中叶的各种定义阻碍了模式之间的明确比较.
结论:
- 像HoLEP和TURP这样的内镜手术在中叶扩大症的男性中表现出良好的功能结果,因此建议进行.
- 对于中叶显著膨胀的患者,不建议使用Optilume和iTIND等手术.
- 为了未来的研究和临床指导,需要对中叶进行标准化的定义,以及一套全面的结果测量方法.
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