前列腺动脉介入栓塞术在前列腺增生患者中的应用效果

Application Effect of Interventional Embolization of Prostate Artery in the Patients with Hyperplasia of Prostate Gland

目的探讨前列腺动脉介入栓塞术在前列腺增生患者中的应用效果。方法方便选取2015年1月—2017年12月该院收治的内科保守治疗无效,不愿接受外科手术治疗进行PAE治疗的50例BPH患者作为观察组,同期选取该院接受经尿道前列腺等离子电切术治疗的50例BPH患者作为对照组;随访半年,对患者术前、术后6个月的IPSS、QOL、RU、Qmax、前列腺体积及手术效果和术后并发症发生情况进行对比分析。结果两组治疗总有效率比较差异无统计学意义(92.0%vs. 96.0%)(χ~2=0.177 2,P>0.05);与手术前比较,经手术治疗两组患者IPSS、QOL、RU、Qmax、前列腺体积均得到显著改善(对照组:t IPSS=28.912 3,t QOL=12.000 0,t RU=78.594 9,t Qmax=16.796 7,t前列腺体积=23.417 8;观察组:t IPSS=32.587 5,t QOL=12.608 7,t RU=83.2285,t Qmax=10.366 9,t前列腺体积=20.945 7;P<0.05);术后对照组IPSS、Qmax、前列腺体积均显著优于观察组(t IPSS=2.371 5,t Qmax=4.176 1,t前列腺体积=4.203 2;P<0.05);观察组并发症发生率显著低于对照组(10.0%vs 28.0%)(χ~2=5.263 2,P<0.05)。结论前列腺动脉介入栓塞术用于前列腺增生患者效果确切,并发症少,临床可依据患者具体情况进行合理术式选择。

Objective To study the application effect of interventional embolization of prostate artery in the patients with hyperplasia of prostate gland.Methods 50 cases of BPH patients for PAE treatment after ineffective conservative therapy in the department of internal medicine who do not want to accept the surgical surgery in our hospital from January 2015 to December 2017 were conveniently selected as the observation group,while 50 cases of BPH patients with the transurethral plasmakinetic resection of prostate in our hospital at the same period were selected as the control group,after six months,the IPSS,QOL,RU,Qmax,prostate volume,operative effect and occurrence of postoperative complications before surgery,and in 6 months after surgery were compared and analyzed.Results The difference in the total effective rate between the two groups was not obvious(92.0%vs.96.0%)(χ^2=0.177 2,P >0.05);and the IPSS,QOL,RU,Qmax,prostate volume of the two groups after surgery were obviously improved(the control group:t IPSS=28.912 3,t QOL=12.000 0,t RU=78.594 9,t Qmax=16.796 7,t prostate volume=23.417 8;in the observation group t IPSS=32.587 5,t QOL=12.608 7,t RU=83.228 5,t Qmax=10.366 9,t prostate volume==20.945 7;P﹤0.05),and the IPSS,Qmax,prostate volume in the control group after surgery were obviously better than those in the observation group(t IPSS=2.371 5,t Qmax=4.1761,t prostate volume=4.203 2;P﹤0.05),and the incidence rate of complications in the observation group was obviously lower than that in the control group(10.0%vs.28.0%,χ^2=5.263 2,P﹤0.05).Conclusion The effect of interventional embolization of prostate artery in patients with hyperplasia of prostate gland is definite with few complications,and we can select the rational operative way according to the specific conditions in clinic.