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前列腺动脉栓塞:在失败的尿的医疗管理后,为导管独立提供一个可行的选择
Moustafa Elhammadi1, Mohamed Ibrahim1, Faria Antara1
1Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, UK.
Journal of vascular and interventional radiology : JVIR
|March 13, 2026
概括
在前列腺动脉栓塞 (PAE) 后没有导管 (TWOC) 的试验成功率在导管依赖的男性中为54.7%. 双边栓塞预测TWOC的成功率更高,为不适合手术的候选人提供了二线选择.
科学领域:
- 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:
- 患有下泌尿道症状 (LUTS) 的男性在医疗管理失败后经常需要导管治疗.
- 前列腺动脉栓塞 (PAE) 是对良性前列腺增生 (BPH) 的替代治疗方法.
研究的目的:
- 为了评估没有导管的试验 (TWOC) 在PAE后的成功率,在导管依赖的男性中.
- 确定TWOC成功的预测因素和PAE后再处理的模式.
主要方法:
- 追溯分析了53名接受PAE的管男性.
- 评估TWOC成功率,反复保留率和再处理率.
- 统计分析以确定TWOC成功的预测因素.
主要成果:
- TWOC的成功率为54.7% (29/53),低于之前的系列,可能是由于慢性导管依赖的队列.
- 双边栓塞与更高的TWOC成功相关 (p=0.024) 并独立预测它 (OR 3.38).
- 在24例TWOC初始失效中,有13例经过了手术重新治疗,其中11/13例实现了导管独立.
结论:
- PAE是慢性导管男性不适合或经历内镜手术的副作用的可行的二线治疗.
- 在这个队列中,双边栓塞是PAE后TWOC成功的关键因素.
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