治疗良性前列腺增生的六种新微创手术  

Six novel minimally invasive therapies for benign prostatic hyperplasia

作　　者：牛鑫洋 刘犇[1] NIU Xinyang;LIU Ben(Department of Urology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院泌尿外科,浙江杭州310003

出　　处：《浙江大学学报（医学版）》2023年第2期162-168,共7页Journal of Zhejiang University(Medical Sciences)

摘　　要：良性前列腺增生(BPH)是导致男性下尿路症状最常见的一种病因。当药物治疗无效或传统手术无法满足患者的某些需求时,临床上可以考虑采用新微创手术,如微创前列腺悬扩术、前列腺动脉栓塞、前列腺水蒸气消融、前列腺高能水切割术、临时植入式镍钛装置、前列腺支架等。这些新微创手术对患者的射精功能和勃起功能均有较好的保护作用,且大多能采用局部麻醉在门诊进行,手术时间和恢复时间也更短。临床医生可根据患者的具体情况以及每种术式的特点进行个体化选择。Benign prostatic hyperplasia(BPH) is the most common cause of lower urinary tract symptoms in men.When drug treatment is ineffective or conventional surgery is not suitable,novel minimally invasive therapies can be considered.These include prostatic urethral lift,prostatic artery embolisation,water vapor thermal therapy,Aquablation-image guided robotic waterjet ablation,temporary implantable nitinol device and prostatic stents.These novel therapies can be performed in outpatient setting under local anesthesia,with shorter operative and recovery times,and better protection of ejaculatory function and erectile function.General conditions of the patient and advantages and disadvantages of the each of these therapies should be fully considered to make individualized plans.

关 键 词：良性前列腺增生 微创手术 微创前列腺悬扩术 前列腺动脉栓塞 前列腺水蒸气消融 前列腺高能水切割术 临时植入式镍钛装置 前列腺支架 综述 

分 类 号：R697[医药卫生—泌尿科学]