超选择前列腺动脉栓塞联合经尿道前列腺切除术治疗体积＞80 mL良性前列腺增生的临床疗效

doi:10.3969/j.issn.1003-9198.2021.01.016

Abstract

Abstract: Objective To investigate the clinical effects and safety of super-selective prostatic artery embolization (PAE) combined with transurethral resection of the prostate (TURP) in the treatment of benign prostatic hyperplasia with volume>80 mL in the elderly patients. Methods The clinical data of 84 elderly patients with benign prostatic hyperplasia with volume>80 mL treated in our hospital from January 2016 to January 2019 were retrospectively analyzed. The patients were divided into control group (44 patients, undergoing TURP) and observation group (40 patients, undergoing super-selective PAE and TURP). The operation time, weight and speed of excised lesion, continuous bladder flushing time, catheter retention time, International Prostate Symptom Score (IPSS), quality of life (QOL) score, maximum urinary flow rate (Qmax) and residual urine volume (PVR), and postoperative complications were compared between the two groups. Results Compared with the control group, the operation time, continuous bladder flushing time, catheter retention time in the observation group were significantly less (P<0. 05), and the weight and speed of excised lesion were significantly more (P<0. 05). After operation, there were no significant differences in IPSS score, QOL score, Qmax and PVR between the two groups (P>0. 05), but the incidence rate of postoperative complication in observation group was significantly lower than that in control group (P<0. 05). Conclusions Compared with TURP alone, super-selective PAE + TURP in the treatment of benign prostatic hyperplasia patients with volume > 80 mL can efficiently shorten the operation time, increase the efficiency of tissue resection, speed up the rehabilitation process, relieve the clinical symptoms, improve the bladder function and quality of life, and reduce the postoperative complications risk.

Key words: prostatic artery embolization, transurethral prostatectomy, benign prostatic hyperplasia, aged

CLC Number:

R 697.32

ZHU Lin-jie, WANG Wei, WANG Hai-dong, ZHAO Xin-jian. Curative effect of super-selective prostatic artery embolization combined with transurethral prostatic resection for benign prostatic hyperplasia with volume>80 mL[J]. Practical Geriatrics, 2021, 35(1): 61-64.

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Curative effect of super-selective prostatic artery embolization combined with transurethral prostatic resection for benign prostatic hyperplasia with volume>80 mL

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