摘要
目的探讨前列腺动脉栓塞术(PAE)治疗ASA(美国麻醉医师协会)高评分患者良性前列腺增生的效果。方法选取2015年1月至2017年1月确诊为良性前列腺增生且药物治疗3个月以上无效、ASA评分≥3级的34例患者为介入组,介入组接受PAE治疗。选择同期行经尿道前列腺电切术(TURP)的良性前列腺增生且ASA评分≥3级的患者69例作为对照组。比较两组的年龄、ASA评分情况及两组手术前后前列腺体积(PV)、国际前列腺症状评分(IPSS)、生活质量评分(QoL)、最大尿流率(Q_(max))、残余尿量等指标的变化情况。结果介入组术后PV、IPSS、QoL、Q_(max)、残余尿量与术前比较均有改善,差异有统计学意义(P<0.05)。介入组与对照组术前、术后各指标比较无统计学差异(P<0.05)。结论 PAE治疗ASA高评级患者良性前列腺增生,短期内可以取得与经尿道前列腺电切术相同的临床效果,且患者的安全性更高。
Objective To evaluate the short-term efficacy of prostatic arterial embolization （PAE） in the treatment of high ASA score patients with benign prostatic hyperplasia （BPH）. Methods During Jan. 2015 and Jan. 2017,34 BPH patients with ASA score ≥3 who received medical treatment for 3 months but failed were then treated with PAE （intervention group）. Another 69 patients with ASA score ≥3 who underwent transurethral resection of prostate （TURP） were selected as the control group. The changes of prostatic volume （PV）,international prostate symptom score （IPSS）, quality of life （QoL） ,peak urinary flow （Qmax） ,and residual urine volume pre-and post-treatment were evaluated. Results In the intervention group,there were significant differences in PV, IPSS, QoL, Qmax, and residual urine volume before and after treatment （all P〈0. 05）. There were no significant differences between the intervention group and the control group in the indexes before and after treatment （all P〉0.05）. Gonclusion PAE is safe and effective in treating BPH patients with high ASA score. PAE is seemly safer and can achieve the same clinical effect as TURP in a short term.
出处
《现代泌尿外科杂志》
CAS
2018年第1期19-22,共4页
Journal of Modern Urology
基金
宝鸡市卫生和计划生育局科研立项(No.2016-30)
关键词
介入栓塞
前列腺动脉
良性前列腺增生
ASA
interventional embolization
prostatic artery
benign prostatic hyperplasia
ASA
