体外冲击波治疗在慢性前列腺炎/慢性盆腔疼痛综合征中的应用进展及其潜在作用机制

The application progress of extracorporeal shock wave in the treatment of chronic prostatitis/chronic pelvic pain syndrome and its potential mechanism

慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)是泌尿男科常见病之一,治疗后易复发。近年来,在传统药物疗效局限的情况下,体外冲击波治疗(ESWT)应用于CP/CPPS患者的安全性和有效性得到广泛证实。研究结果显示ESWT短期(≤12周)疗效令人满意,但缺乏长期(>12周)的随访数据。此外,适应证不统一、作用机制未阐明等,限制了其进一步的临床推广。本文总结ESWT在CP/CPPS患者中应用的最新进展及其潜在作用机制。

Chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS)is one of the common diseases in uroloandrology,which recurs easily after treatment.In recent years,the safety and efficacy of extracorporeal shock wave therapy(ESWT)for CP/CPPS has been widely demonstrated.Studies have shown satisfactory short-term(≤12 weeks)outcomes of ESWT,but lack long-term(>12 weeks)follow-up data.In addition,inconsistent indications and unexplained therapeutic mechanisms have limited the further clinical promotion of ESWT.This article summarizes the latest progress and potential mechanism of ESWT in the treatment of CP/CPPS in order to provide new insights for the standardized application of ESWT.