高强度聚焦超声(HIFU)对良性前列腺增生症患者的临床价值

High Intensity Focused Ultrasound( HIFU) on the Clinical Value of Patients with Benign Prostatic Hyperplasia

目的:探讨高强度聚焦超声(HIFU)治疗良性前列腺增生症(BPH)的临床意义及疗效观察。方法:对303例不能耐受手术又不愿接受膀胱造瘘术的BPH患者行HIFU治疗。结果:303例BPH患者中,治愈207例,明显缓解53例,轻度改善34例,无效9例,总有效率97.03%。治疗后IPSS、Qmax、Volume、PVRV明显优于治疗前,各项差异均有统计学意义,治疗中所有患者均出现血尿,耻骨联合处隐痛72例,均未影响治疗,2周内症状消失,急性附睾炎7例,给予抗感染处理后治愈。结论:HIFU对治疗不能耐受手术的老年BPH患者是一种无创、无痛、安全有效的治疗方法,近期疗效显著,远期效果有待进一步观察。

Objective Clinical significance and therapeutic efficacy of high intensity focused ultrasound in the treatment of benign prostatic hyperplasia .Methods In 303 cases of intolerance and unwilling to accept opera-tion bladder fistulization in HIFU patients treated with BPH .Results In 303 BPH patients , 207 cases were cured, 34 cases markedly relieved in 53 cases, slightly improved, 9 cases ineffective, the total efficiency of 97.03%.IPSS, Qmax, Volume, PVRV significantly effect after than before treatment , the difference was statisti-cally significant, in the treatment of all patients were hematuria , pubic symphysis pain in 72 cases, were not affect-ed by treatment, symptoms disappeared within 2 weeks, 7 patients with epididymitis, give the anti infection treat-ment cured after .Conclusion HIFU for surgical treatment can not be tolerated in the elderly patients with BPH is a non-invasive, painless, safe and effective method of treatment , a significant short-term effect, the long-term effect needs further observation .