前列腺增生症外科微创治疗
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摘要
前列腺增生症的外科微创治疗近年来有了新的发展。经尿道前列腺电切术作为"金标准"面临着不少挑战。利用各种激光行经尿道前列腺剜除术在国内外已越来越多。经尿道前列腺柱状水囊扩裂术、前列腺尿道支架Uro-lift、前列腺蒸汽消融Rezum、前列腺水刀Aquablation等新技术的临床研究仍在持续进行。前列腺增生症的微创外科治疗在未来更微创化,尤其在加速康复外科的实施下,有望实现日间手术化。
Over recent years,there has been new progress in minimally invasive surgical treatments for benign prostatic hyperplasia.Transurethral resection of the prostate,as the golden standard surgery,is facing various challenges.Operations on laser-assist transuresthral enucleation of the prostate are widely accepted both domestic and international.Clinical trials using new technologies such as transurethral split of the prostate with columnar balloon catheter,prostate urethral lift(Urolift),convective water vapor treatment(Rezum system)and water ablation therapy(Aquablation)are continuously proceeding.Minimally invasive surgeries for benign prostatic hyperplasia will be increasingly performed in out-patient settings in the future.
Over recent years,there has been new progress in minimally invasive surgical treatments for benign prostatic hyperplasia.Transurethral resection of the prostate,as the golden standard surgery,is facing various challenges.Operations on laser-assist transuresthral enucleation of the prostate are widely accepted both domestic and international.Clinical trials using new technologies such as transurethral split of the prostate with columnar balloon catheter,prostate urethral lift(Urolift),convective water vapor treatment(Rezum system)and water ablation therapy(Aquablation)are continuously proceeding.Minimally invasive surgeries for benign prostatic hyperplasia will be increasingly performed in out-patient settings in the future.
引文
[1]那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M].2014版.北京:人民卫生出版社,2013:245-266.
[2] Alan J,Louis R,Alan W,et al.Campbell-Walsh Urology[M].Eleventh edition[J].USA:Elsevier Inc,2016:2504-2534.
[3] European Association of Urology Guidelines.2018.Availablefrom www.uroweb.org/guidelines/.
[4] Lourenco T,Shaw M,Fraser C,et al.The clinical effectivenessof transurethral incision of the prostate:a systematic review ofrandomised controlled trials[J].World J Urol,2010,28(1):23-32.
[5] Tan A,Liao C,Mo Z,et al.Meta-analysis of holmium laser e-nucleation versus transurethral resection of the prostate forsymptomatic prostatic obstruction[J].Br J Surg,2007,94(29):1201-1208.
[6] Kuntz RM,Lehrich K.Transurethral holmium laser enucleationversus transvesical open enucleation for prostate adenoma grea-ter than 100gm:a randomized prospective trial of 120patients[J].J Urol,2002,168(4):1465-1469.
[7] Humphreys MR,Miller NL,Handa SE,et al.Holmium laserenucleation of the prostate--outcomes independent of prostatesize[J].J Urol,2008,180(6):2431-2435.
[8] Salonia A,Suardi N,Naspro R,et al.Holmium laser enuclea-tion versus open prostatectomy for benign prostatic hyperplasia:an inpatient cost analysis[J].Urology,2006,68(2):302-306.
[9] Misrai V,Kerever S,Phe V,et al.Direct comparison of Green-Light Laser XPS photoselective prostate vaporization and Green-Light Laser en bloc enucleation of the prostate in enlarged glandsgreater than 80ml:a study of 120patients[J].J Urol,2016,195(4):1027-1032.
[10]许凯,刘春晓.经尿道双极等离子体前列腺剜除术治疗良性前列腺增生症1100例[J].实用医学杂志,2012(14):2395-2397.
[11]刘俊峰,谭朝晖,李三祥,等.经尿道双极等离子前列腺剜除术与经尿道双极等离子电切术比较治疗前列腺增生的临床研究[J].中国循证医学杂志,2013,13(12):1405-1408.
[12] Huang W,Huang Z,Xiao G,et al.Effect of transurethral splitof the prostate using a double-columnar balloon catheter for be-nign prostatic hyperplasia:A single-center experience of 565consecutive patients[J]. Medicine(Baltimore),2016,95(40):4657.
[13] Magistro G,Stief CG,Woo HH.Mini-Review:What Is New inUrolift[J].Eur Urol Focus,2018,4(1):36-39.
[14] Gupta N,Rogers T,Holland B,et al.3-year treatment out-comes of water vapor thermal therapy(Rezum System)comparedto doxazosin,finasteride and combination drug therapy for menwith benign prostatic hyperplasia:cohort data from the MedicalTherapy of Prostatic Symptoms(MTOPS)trial[J].J Urol,2018,200(2):405-413.
[15] Gilling P,Barber N,Bidair M,et al.WATER:A Double-Blind,Randomized,Controlled Trial of Aquablation vs Tran-surethral Resection of the Prostate in Benign Prostatic Hyper-plasia[J].J Urol,2018,199(5):1252-1261.
[16] Ray AF,Powell J,Speakman MJ,et al.Efficacy and safety ofprostate artery embolization for benign prostatic hyperplasia:anobservational study and propensity-matched comparison withtransurethral resection of the prostate(the UK-ROPE study)[J].BJU Int,2018,122(2):270-282.
[17] Zumstein V,Betschart P,Vetterlein MW,et al.Prostatic Ar-tery Embolization versus Standard Surgical Treatment for LowerUrinary Tract Symptoms Secondary to Benign Prostatic Hyper-plasia:A Systematic Review and Meta-analysis[J].Eur UrolFocus,2018,http://doi.org/10.1016/j.euf.2018.09.005.
[2] Alan J,Louis R,Alan W,et al.Campbell-Walsh Urology[M].Eleventh edition[J].USA:Elsevier Inc,2016:2504-2534.
[3] European Association of Urology Guidelines.2018.Availablefrom www.uroweb.org/guidelines/.
[4] Lourenco T,Shaw M,Fraser C,et al.The clinical effectivenessof transurethral incision of the prostate:a systematic review ofrandomised controlled trials[J].World J Urol,2010,28(1):23-32.
[5] Tan A,Liao C,Mo Z,et al.Meta-analysis of holmium laser e-nucleation versus transurethral resection of the prostate forsymptomatic prostatic obstruction[J].Br J Surg,2007,94(29):1201-1208.
[6] Kuntz RM,Lehrich K.Transurethral holmium laser enucleationversus transvesical open enucleation for prostate adenoma grea-ter than 100gm:a randomized prospective trial of 120patients[J].J Urol,2002,168(4):1465-1469.
[7] Humphreys MR,Miller NL,Handa SE,et al.Holmium laserenucleation of the prostate--outcomes independent of prostatesize[J].J Urol,2008,180(6):2431-2435.
[8] Salonia A,Suardi N,Naspro R,et al.Holmium laser enuclea-tion versus open prostatectomy for benign prostatic hyperplasia:an inpatient cost analysis[J].Urology,2006,68(2):302-306.
[9] Misrai V,Kerever S,Phe V,et al.Direct comparison of Green-Light Laser XPS photoselective prostate vaporization and Green-Light Laser en bloc enucleation of the prostate in enlarged glandsgreater than 80ml:a study of 120patients[J].J Urol,2016,195(4):1027-1032.
[10]许凯,刘春晓.经尿道双极等离子体前列腺剜除术治疗良性前列腺增生症1100例[J].实用医学杂志,2012(14):2395-2397.
[11]刘俊峰,谭朝晖,李三祥,等.经尿道双极等离子前列腺剜除术与经尿道双极等离子电切术比较治疗前列腺增生的临床研究[J].中国循证医学杂志,2013,13(12):1405-1408.
[12] Huang W,Huang Z,Xiao G,et al.Effect of transurethral splitof the prostate using a double-columnar balloon catheter for be-nign prostatic hyperplasia:A single-center experience of 565consecutive patients[J]. Medicine(Baltimore),2016,95(40):4657.
[13] Magistro G,Stief CG,Woo HH.Mini-Review:What Is New inUrolift[J].Eur Urol Focus,2018,4(1):36-39.
[14] Gupta N,Rogers T,Holland B,et al.3-year treatment out-comes of water vapor thermal therapy(Rezum System)comparedto doxazosin,finasteride and combination drug therapy for menwith benign prostatic hyperplasia:cohort data from the MedicalTherapy of Prostatic Symptoms(MTOPS)trial[J].J Urol,2018,200(2):405-413.
[15] Gilling P,Barber N,Bidair M,et al.WATER:A Double-Blind,Randomized,Controlled Trial of Aquablation vs Tran-surethral Resection of the Prostate in Benign Prostatic Hyper-plasia[J].J Urol,2018,199(5):1252-1261.
[16] Ray AF,Powell J,Speakman MJ,et al.Efficacy and safety ofprostate artery embolization for benign prostatic hyperplasia:anobservational study and propensity-matched comparison withtransurethral resection of the prostate(the UK-ROPE study)[J].BJU Int,2018,122(2):270-282.
[17] Zumstein V,Betschart P,Vetterlein MW,et al.Prostatic Ar-tery Embolization versus Standard Surgical Treatment for LowerUrinary Tract Symptoms Secondary to Benign Prostatic Hyper-plasia:A Systematic Review and Meta-analysis[J].Eur UrolFocus,2018,http://doi.org/10.1016/j.euf.2018.09.005.