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目的观察动脉栓塞术治疗良性前列腺增生的临床效果及安全性。方法 15例良性前列腺增生患者,均行动脉栓塞术对供应前列腺优势血管进行栓塞,比较术前及术后1,3,6个月患者国际前列腺症状评分、储尿期刺激症状评分、最大尿流率和残余尿量,24h排尿次数、尿量、尿失禁次数和夜尿次数。结果治疗后各项指标较治疗前均有明显改善,术后3个月与术后6个月各项指标比较差异无统计学意义(P>0.05),术后6个月B超显示前列腺血流信号较术前明显减弱(P<0.05),前列腺体积显著缩小(P<0.05)。结论动脉栓塞术治疗良性前列腺增生近期疗效好,安全性高。
Objective To observe the clinical effect and safety of arterial embolization in the treatment of benign prostatic hyperplasia. Methods Fifteen patients with benign prostatic hyperplasia underwent arterial embolization to embolize prostatic hypervascularity. Preoperative and postoperative 1, 3 and 6 months patients were assessed with International Prostate Symptom Score, Storage Urinary Stimulation Symptom Score, Maximum Urinary Flow Rate and residual urine volume, 24h urination, urine output, urinary incontinence frequency and nocturnal urination frequency. Results After treatment, all the indexes were significantly improved compared with those before treatment. There was no significant difference in each index between 3 months and 6 months after operation (P> 0.05) The flow signal was significantly weaker than that before operation (P <0.05), and the volume of prostate was significantly reduced (P <0.05). Conclusions Arterial embolization in the treatment of benign prostatic hyperplasia has good curative effect and high safety.