改性水蒸气热疗法用于大体量的良性前列腺增生症
Qun Lu1, Guanchen Zhu1, Jun Liu2
1Department of Urology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, China.
BMC urology
|February 6, 2026
概括
改性水蒸气热疗法有效治疗大体积良性前列腺增生症 (BPH),显著改善症状和生活质量,并发症最小. 这种微创手术为BPH管理提供了安全有效的选择.
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
- 医疗器械 医疗器械
背景情况:
- 良性前列腺增生症 (BPH) 影响着老年男性人口的很大一部分.
- 大量的BPH带来了独特的治疗挑战.
- 当前的治疗选择可能在疗效或副作用概况方面存在局限性.
研究的目的:
- 评估修改后的水蒸气热疗法对大量BPH的男性的疗效和安全性.
- 评估症状改善,功能结果和并发症率.
- 为了确定这种微创方法的长期有效性.
主要方法:
- 一项前性研究,涉及连续196名前列腺体积≥80mL的患者.
- 使用Rezum系统进行的修改水蒸气热疗法程序.
- 在国际前列腺症状评分 (IPSS),生活质量 (QoL),最大流速 (Qmax) 和国际勃起功能指数 (IIEF-5) 上收集的数据.
主要成果:
- 在所有196名患者中成功治疗,中位前列腺体积为96毫升.
- IPSS和前列腺体积的显著减少,在1年内持续改善.
- 在QoL得分和Qmax中显著改善,IIEF-5得分在统计学上显著增加.
- 逆行性射精的发病率低 (3.1%),需要重新治疗的必要性最小 (0.5%).
结论:
- 改性水蒸气热疗法是大容量BPH的安全有效治疗方法.
- 该程序导致显著的症状缓解和功能改善.
- 这种疗法提供了有利的安全性概况,BPH管理的并发症最小.
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