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良性前列腺增生的前列腺动脉栓塞术的现状。

State of the art of prostatic arterial embolization for benign prostatic hyperplasia.

作者信息

Petrillo Mario, Pesapane Filippo, Fumarola Enrico Maria, Emili Ilaria, Acquasanta Marzia, Patella Francesca, Angileri Salvatore Alessio, Rossi Umberto G, Piacentini Igor, Granata Antonio Maria, Ierardi Anna Maria, Carrafiello Gianpaolo

机构信息

Diagnostic and Interventional Radiology Department, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy.

Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy.

出版信息

Gland Surg. 2018 Apr;7(2):188-199. doi: 10.21037/gs.2018.03.01.

Abstract

Prostatectomy via open surgery or transurethral resection of the prostate (TURP) is the standard treatment for benign prostatic hyperplasia (BPH). Several patients present contraindication for standard approach, individuals older than 60 years with urinary tract infection, strictures, post-operative pain, incontinence or urinary retention, sexual dysfunction, and blood loss are not good candidates for surgery. Prostatic artery embolization (PAE) is emerging as a viable method for patients unsuitable for surgery. In this article, we report results about technical and clinical success and safety of the procedure to define the current status.

摘要

经开放手术或经尿道前列腺切除术(TURP)进行前列腺切除术是良性前列腺增生(BPH)的标准治疗方法。一些患者存在标准治疗方法的禁忌症,年龄超过60岁、患有尿路感染、尿道狭窄、术后疼痛、尿失禁或尿潴留、性功能障碍以及失血的患者不是手术的合适人选。前列腺动脉栓塞术(PAE)正成为不适于手术患者的一种可行方法。在本文中,我们报告了该手术的技术和临床成功率及安全性的结果,以确定其当前状况。

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