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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.

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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