良性前列腺增生微创技术的研究进展

Research Progress of Minimally Invasive Techniques for Benign Prostatic Hyperplasia

良性前列腺增生作为泌尿系疾病中常见的老年疾病,主要表现为进行性排尿困难。其经典的手术方式为经尿道前列腺电切术,该手术方式仍存在术后出血、影响射精功能等术后并发症,经过多年的发展,对该术式的改进,出现前列腺剜除术,并把激光应用于手术。与此同时,前列腺的微创治疗也蓬勃发展,前列腺动脉栓塞术、前列腺水蒸气消融、临时植入式镍钛装置等微创治疗逐渐应用于临床治疗。本文就良性前列腺增生的各种手术治疗和微创治疗的研究进展作一综述。

Benign prostatic hyperplasia, as a common elderly disease among urological diseases, mainly manifests as progressive urination difficulty. The classic surgical method is transurethral resection of the prostate. This surgical method still has postoperative complications such as postoperative bleeding and impact on ejaculation function. After years of development, this surgical method has been improved, and prostatic enucleation has emerged, and use lasers in surgery. At the same time, minimally invasive treatments for the prostate are also booming, and minimally invasive treatments such as prostatic artery embolization, prostate water vapor ablation, and temporary implantable nickel-titanium devices are gradually being used in clinical treatment. This article reviews the research progress of various surgical treatments and minimally invasive treatments for benign prostatic hyperplasia.