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前列腺栓塞术:患者选择、临床管理及结果

Prostate embolization: patient selection, clinical management and results.

作者信息

Young Shamar, Golzarian Jafar

机构信息

Department of Radiology, Division of Interventional Radiology, University of Minnesota, 420 Delaware ST SE, Minneapolis, MN, 55455, USA.

出版信息

CVIR Endovasc. 2019 Jan 18;2(1):7. doi: 10.1186/s42155-019-0049-1.

Abstract

BACKGROUND

Prostate artery embolization is an emerging technique, that with the continued publication of promising data, is slowly moving from the research to the everyday clinical setting.

MAIN BODY

This paper reviews the patient selection, clinical management and expected results of prostate artery embolization. Patient selection is paramount in delivering the desired results for any procedure. Likewise, the ability to clinically manage patients in the pre-operative and post-operative setting is an important skill to acquire when implementing new techniques. This paper introduces important urologic measurements/tests, patient selection paradigms, and clinical management concepts for interventional radiologists. It also reviews the outcomes patients can expect following prostate artery embolization as well as the complication profile.

CONCLUSION

Prostate artery embolization is a promising technique for the treatment of benign prostatic hyperplasia induced lower urinary tract symptoms.

摘要

背景

前列腺动脉栓塞术是一项新兴技术,随着越来越多有前景的数据不断发表,该技术正逐渐从研究领域走向日常临床应用。

主体内容

本文回顾了前列腺动脉栓塞术的患者选择、临床管理及预期结果。对于任何手术而言,患者选择对于达成预期效果至关重要。同样,在实施新技术时,具备在术前和术后阶段对患者进行临床管理的能力是一项需要掌握的重要技能。本文为介入放射科医生介绍了重要的泌尿外科测量方法/检查、患者选择模式及临床管理概念。还回顾了患者在接受前列腺动脉栓塞术后可能出现的结果以及并发症情况。

结论

前列腺动脉栓塞术是治疗良性前列腺增生所致下尿路症状的一项有前景的技术。

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本文引用的文献

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Prostate artery embolization.
BJU Int. 2018 Aug;122(2):167-168. doi: 10.1111/bju.14409.
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A Systematic Review of Prostatic Artery Embolization in the Treatment of Symptomatic Benign Prostatic Hyperplasia.
Cardiovasc Intervent Radiol. 2017 May;40(5):655-663. doi: 10.1007/s00270-016-1539-3. Epub 2016 Dec 28.
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Bilateral Arterial Embolization of the Prostate Through a Single Prostatic Artery: A Case Series.
Cardiovasc Intervent Radiol. 2017 May;40(5):780-787. doi: 10.1007/s00270-016-1540-x. Epub 2016 Dec 20.
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Prostate Artery Embolization for Complete Urinary Outflow Obstruction Due to Benign Prostatic Hypertrophy.
Cardiovasc Intervent Radiol. 2017 Jan;40(1):33-40. doi: 10.1007/s00270-016-1502-3. Epub 2016 Nov 16.
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Comparative Study Using 100-300 Versus 300-500 μm Microspheres for Symptomatic Patients Due to Enlarged-BPH Prostates.
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