当代前列腺动脉栓塞术的文献回顾

Literature Review of Contemporary Prostate Artery Embolization

前列腺动脉栓塞术作为一种崭新的放射介入技术,用于治疗良性前列腺增生继发下尿路症状的患者。良性前列腺增生症是一种常见于中老年男性患者的临床病症,它常导致典型的下尿路症状,包括夜尿、尿频、尿急、尿流率下降、排尿踌躇、不完全排空感等。通常在排除肿瘤、炎症、中枢神经系统疾病等病因后,由良性前列腺增生所引起的轻中度下尿路症状可行观察疗法或药物治疗,而对于中重度症状患者,则多建议手术治疗。自早期偶然发现选择性地前列腺动脉栓塞术能治疗因前列腺增生继发的恶性出血,且可缓解下尿路症状之后,该方法被越来越多的临床学者所接受,并积极探索该技术的实用性、安全性及有效性。目前,前列腺动脉栓塞术仍未成为良性前列腺增生症的标准疗法。本文将重点回顾关于前列腺动脉栓塞术的相关文献,包括个案、动物研究、回顾性或前瞻性队列研究等,对该技术进行总结。

As a new radiological interventional technique, prostate artery embolization is used to treat patients with benign prostatic hyperplasia secondary to lower urinary tract symptoms. Benign prostatic hyperplasia is a clinical condition common in middle-aged and elderly men. It often leads to typical lower urinary tract symptoms, including nocturia, frequent urination, urgency, decreased urinary flow rate, urinary fistula, incomplete emptying, etc.. Usually after the exclusion of tumors, inflammation, central nervous system diseases and other causes, mild to moderate urinary tract symptoms caused by benign prostatic hyperplasia are feasible observation therapy or drug treatment, and for patients with moderate to severe symptoms, surgery is recommended. Since the early accidental discovery of selective prostate artery embolization for the treatment of malignant hemorrhage secondary to benign prostatic hyperplasia, and can alleviate the symptoms of lower urinary tract, this method has been accepted by more and more clinical scholars, and actively explore the technology. Practicality, safety and effectiveness. At present, prostate arterial embolization has not become the standard treatment for benign prostatic hyperplasia. This article will focus on reviewing relevant literature on prostate artery embolization,including case studies, animal studies, retrospective or prospective cohort studies, and summarize the technique.