摘要
目的通过前列腺动脉栓塞治疗良性前列腺增生的分析评估。方法方便选取Ⅰ200例自2018年1月—2019年10月于该院行前列腺动脉栓塞术治疗前列腺增生的患者观察患者术前术后情况,通过对比国际前列腺症状评分(IPSS),生活质量评分(QOL),前列腺体积(PV)、最大尿流率(Q_max)及剩余尿(RU)的变化分析超选择性前列腺动脉栓塞术治疗良性前列腺增生效果。结果Ⅰ500例良性可列腺增生患者国际前列腺症状评分(IPSS)为25~35分,平均(32.7±3.0)分;前列腺症状生活质量(QOL)评分为5-6分,平均(5.6±0.3)分;前列腺体积(PV)为73~178 cm^(3),平均(121.0±37.0)cm^(3);平均Q_max(12.3±1.3)mLs,平均RU(45.6+4.2)mL。根据手术前后IPSS、QOL评分,PV评估后。其中1200例均成功接受前列腺动脉栓塞术(PAE)。手术时间40~76 min,平均(58±18)min,术中无严重并发症发生。随访1~l1个月,平均(5.0±3.2)个月。术后2周IPSS,QOL评分.Q_max,RU与术前基数水平比较,差异有统计学意义(t=8.550,5.220.15.540、27.710,P<0.05)。结论对比结果显示经导管超选择性前列腺动脉栓塞术是一种新兴的治疗良性前列腺增生的微创技术,可以明显的改善下尿路梗阻症状。通过Ⅰ200例前列腺动脉栓塞术的初步分析结果表明,超选择性前列腺动脉栓塞术治疗良性前列腺增生是一种安全有效的新方法。
Objective To analyze and evaluate the treatment of benign prostatic hyperplasia by prostatic artery embolization.Methods 1200 patients who underwent prostatic arterial embolization for prostate hyperplasia in our hospital from January2018 to October 2019 were convenient selected to observe the preoperative and postoperative conditions of the patients.Bycomparing the International Prostate Symptom Score(IPSS)and Quality of Life Score(QOL),prostate volume(PV).maximum urine flow rate(Q_max)and residual urine(RU)changes to analyze the efifect of superselective prostatic arterialembolization in the treatment of benign prostatic hyperplasia.Results The International Prostate Symptom Score(IPSS)of 1500 patients with benign prostatic hyperplasia ranged from 25 to 35,with an average of(32.7±3.0)points;the quality of lifewith prostate symptoms(QOL)score was 5-6 points,average(5.6±0.3)points;prostate volume(PV)was 73-178 cm^(3),average(121.0±37.0)cm^(3);average Q_max(12.3±1.3)mL/s,average RU(45.6+4.2)m^(3).Based on IPSS,Q0L score and Pvevaluation before and after surgery,1200 patients underwent successful prostatic arterial embolization(PAE).The operationtime was 40~76 min,with an average of(58±18)min.No serious complications oceurred during the operation.The follow-up period was 1 to ll months,with an average of(5.0±3.2)months.Comparison of IPSS,QoL score,Q_max,RU and thepreoperative base level at 2 weeks postoperatively,the difference was statistically significant(t=8.550,5.220,15.540,27.710.P<0.05).Conclusion The comparison results show that transcatheter superselective prostatic arterial embolization is anemerging minimally invasive technique for the treatment of benign prostatic hyperplasia,which can significantly improve thesymptoms of lower urinary tract obstruction.The preliminary analysis of 1200 cases of prostate artery embolization showedthat superselective prostate artery embolization is a safe and effective new method for the treatment of benign prostatichyperplasia.
作者
楚世魁
孙政育
吕文竹
CHU Shi-kui;SUN Zheng-yu;LYU Wen-zhu(Department of Intervention,Heilongjiang Far East Cardiovascular Hospital,Harbin,Heilongjiang Province,150046 China)
出处
《中外医疗》
2021年第5期45-47,54,共4页
China & Foreign Medical Treatment
关键词
良性前列腺增生症
前列腺动脉栓塞术
介入放射学
Benign prostatic hyperplasia
Prostatic artery embolization
Interventional radiology
