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[前列腺动脉栓塞术（PAE）：技术与结果]

[Prostate artery embolization (PAE) : Technique and results].

作者信息

Kovács A

机构信息

Klinik für diagnostische und interventionelle Radiologie und Neuroradiologie, MediClin Robert Janker Klinik, Villenstraße 8, 53129, Bonn, Deutschland.

出版信息

Radiologe. 2017 Aug;57(8):641-651. doi: 10.1007/s00117-017-0248-5.

DOI:10.1007/s00117-017-0248-5
PMID:28455657
Abstract

CLINICAL/METHODICAL ISSUE: In the treatment of the benign prostatic hyperplasia (BPH) medical and surgical therapies have been established.

STANDARD RADIOLOGICAL METHODS

Prostate artery embolization (PAE) is an innovative endovascular technique that might close the gap between both these procedures.

PERFORMANCE

The PAE procedure is safe and has a low incidence of side effects. The efficacy of PAE has been proven for medium sized and large sized glands as well as for intravesical protrusions.

ACHIEVEMENTS

The complex mechanism of PAE carries the potential to cure lower urinary tract symptoms as well as to retard the progression of the hyperplasia.

PRACTICAL RECOMMENDATIONS

Data concerning the long-term efficacy are missing at present.

摘要

临床/方法学问题：在良性前列腺增生（BPH）的治疗中，已确立了药物治疗和手术治疗方法。

标准放射学方法

前列腺动脉栓塞术（PAE）是一种创新的血管内技术，可能会填补这两种治疗方法之间的空白。

操作

PAE手术安全，副作用发生率低。PAE对中等大小和大尺寸腺体以及膀胱内突出物的疗效已得到证实。

成果

PAE的复杂机制有可能治愈下尿路症状并延缓增生进展。

实际建议

目前缺少关于长期疗效的数据。

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Rofo. 2017 Jan;189(1):21-28. doi: 10.1055/s-0042-119451. Epub 2016 Dec 21.
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Efficacy and safety of prostate artery embolization on lower urinary tract symptoms related to benign prostatic hyperplasia: a systematic review and meta-analysis.前列腺动脉栓塞术治疗良性前列腺增生相关下尿路症状的疗效和安全性：一项系统评价和荟萃分析。
Clin Interv Aging. 2016 Nov 11;11:1609-1622. doi: 10.2147/CIA.S119241. eCollection 2016.
3
Prostatic Arterial Embolization Treating Moderate-to-Severe Lower Urinary Tract Symptoms Related to Benign Prostate Hyperplasia: A Meta-Analysis.
Radiologe. 2020 Nov;60(Suppl 1):54-62. doi: 10.1007/s00117-020-00706-1.
前列腺动脉栓塞术治疗与良性前列腺增生相关的中重度下尿路症状：一项荟萃分析。
Cardiovasc Intervent Radiol. 2017 Jan;40(1):22-32. doi: 10.1007/s00270-016-1516-x. Epub 2016 Nov 21.
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Prostate Artery Embolization for Complete Urinary Outflow Obstruction Due to Benign Prostatic Hypertrophy.前列腺动脉栓塞术治疗良性前列腺增生所致完全性尿潴留
Cardiovasc Intervent Radiol. 2017 Jan;40(1):33-40. doi: 10.1007/s00270-016-1502-3. Epub 2016 Nov 16.
5
Meta-Analysis of Prostatic Artery Embolization for Benign Prostatic Hyperplasia.良性前列腺增生症前列腺动脉栓塞术的Meta分析
J Vasc Interv Radiol. 2016 Nov;27(11):1686-1697.e8. doi: 10.1016/j.jvir.2016.08.004. Epub 2016 Oct 12.
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