男人下尿道症状的罕见原因:盆腔动脉静脉形压缩前列腺,成功通过栓塞治疗
Ngo Quang Chuc1, Than Van Sy2,3, Vo Van Minh4
1Department of Radiology, Quang Ninh General Hospital, Vietnam.
Interventional radiology (Higashimatsuyama-shi (Japan)
|March 4, 2026
概括
盆腔动脉静脉形可以模仿良性前列腺增生,导致尿路症状. 跨动脉栓塞有效地治疗了一个病例,解决了症状并显示了病变回归.
科学领域:
- 血管外科 血管外科
- 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
背景情况:
- 盆腔动脉静脉形 (AVM) 是一种罕见的血管异常.
- 这些AVM可以压缩前列腺,模仿良性前列腺增生症 (BPH) 的症状.
- 男性下泌尿道症状 (LUTS) 可能有不同的病因.
研究的目的:
- 报告一个作为LUTS呈现的盆腔AVM病例.
- 通过穿动脉栓塞来描述盆腔AVM的成功治疗方法.
- 突出AVM作为BPH类症状的差异诊断.
主要方法:
- 评估了一名59岁的男性,患有进展性LUTS.
- 图像检测发现一个盆腔AVM压缩前列腺.
- 选择性跨动脉栓塞使用N-丁烯酸和lipiodol进行.
主要成果:
- 实现了盆腔AVM的完全封闭.
- 患者在手术后经历了快速症状缓解.
- 随访成像证实了AVM血栓形成和回归,没有复发.
结论:
- 盆腔AVM是一种不常见但重要的LUTS原因.
- 跨动脉栓塞是一种安全有效的治疗症状的骨盆AVM.
- 早期诊断和干预可以带来出色的患者结果.
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