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前列腺动脉栓塞术:我们是否仍需要它,以及为谁需要?

Prostatic Artery Embolisation: Do We Still Need It and for Whom?

机构信息

Department of Urology, Spitalzentrum Biel, Centre Hospitalier Bienne, Biel, Switzerland.

Department of Urology, Spitalzentrum Biel, Centre Hospitalier Bienne, Biel, Switzerland.

出版信息

Eur Urol Focus. 2022 Mar;8(2):384-387. doi: 10.1016/j.euf.2022.04.005. Epub 2022 Apr 26.

DOI:10.1016/j.euf.2022.04.005
PMID:35484049
Abstract

Prostatic artery embolisation (PAE) is now endorsed by international evidence-based guidelines as a treatment for lower urinary tract symptoms presumed secondary to benign prostatic obstruction (LUTS/BPO) for selected patients. PAE is a truly minimally invasive technique, with proven efficacy and safety demonstrated for the short- to mid-term. As it has a unique treatment approach (endovascular instead of transurethral), its profile and ideal application differ clearly from other treatments for LUTS/BPO, which must be considered for patient selection. This mini review examines the role of PAE in the treatment of LUTS/BPO on the basis of current evidence. PATIENT SUMMARY: For properly selected patients, prostatic artery embolisation (PAE), in which arteries feeding the prostate are blocked in a nonsurgical procedure, is one of the treatment options for obstruction of urine outflow caused by benign enlargement of the prostate. This article examines the role of PAE according to the evidence available in the literature.

摘要

前列腺动脉栓塞术(PAE)目前被国际循证指南推荐为治疗下尿路症状(LUTS)/良性前列腺梗阻(BPO)的方法,适用于特定患者。PAE 是一种真正的微创技术,其短期至中期疗效和安全性已得到证实。由于其具有独特的治疗方法(血管内而非经尿道),因此其特征和理想应用与其他治疗 LUTS/BPO 的方法明显不同,在选择患者时必须考虑这些方法。本迷你综述根据现有证据探讨了 PAE 在 LUTS/BPO 治疗中的作用。

患者总结

对于经过适当选择的患者,前列腺动脉栓塞术(PAE)是一种非手术方法,通过阻塞供应前列腺的动脉来治疗由良性前列腺增大引起的尿液流出梗阻。本文根据文献中的现有证据探讨了 PAE 的作用。

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引用本文的文献

1
A correlation study between prostate necrosis rate calculated by 3D Slicer software and clinical efficacy of prostatic artery embolization, along with an analysis of predictors of clinical success after prostatic artery embolization.3D Slicer 软件计算的前列腺坏死率与前列腺动脉栓塞临床疗效的相关性研究,以及前列腺动脉栓塞后临床成功的预测因素分析。
Abdom Radiol (NY). 2024 Mar;49(3):927-938. doi: 10.1007/s00261-023-04131-5. Epub 2023 Dec 29.
2
Six novel minimally invasive therapies for benign prostatic hyperplasia.六种新型微创治疗良性前列腺增生的方法。
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2023 Apr 25;52(2):162-168. doi: 10.3724/zdxbyxb-2022-0593.
3
Comparison of traditional outcome measures and self-assessed goal achievement in patients treated surgically for benign prostatic hyperplasia.
比较传统的疗效评估指标和患者自报的前列腺良性增生症手术治疗目标达成情况。
World J Urol. 2023 Apr;41(4):1125-1131. doi: 10.1007/s00345-023-04317-y. Epub 2023 Feb 16.