PAE 的主要優勢

對於患有良性前列腺增生 (BPH) 的男性來說，PAE 是一種安全的治療選擇，並且與其他微創手術一樣，與傳統的開放性手術相比具有顯著的優勢。 PAE 一年後，平均前列腺大小縮小約 30%，緩解泌尿症狀，保留勃起功能，並提高生活品質。接受 PAE 的男性表示體驗到了高度的滿意度，並且這種滿意度在手術後持續了一年多。 1,2

PAE 的諸多優點

  • 微創手術
  • 幾乎沒有失血
  • 通常作為門診手術進行
  • 與手術相比，住院時間更短，恢復時間更快 3
  • 與手術相比，不太可能需要導尿 4
  • 緩解下泌尿道症狀 (LUTS)，例如尿急感和頻尿感，特別是在夜間（夜尿）、膀胱排空不完全、尿流微弱、間歇性和排尿時用力 5
  • 無需手術即可改善 LUTS，且性副作用或失禁的風險較低 5
  • 生活品質整體顯著改善
  • 使用時不受前列腺大小、尿道狹窄或膀胱容量的限制。 3,6

參考文獻：
  1. Carnevale, F. C., da Motta - Leal - Filho, J. M., MD, Antunes, A. A., Baroni, R. H., Marcelino, A. S. Z., Cerri, L. M. O., Yoshinaga , E. M., MD, Cerri, G. G., & Srougi, M. (2013). Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. Journal of Vascular and Interventional Radiology , 24（4）：535-542. DOI: 10.1016/j.jvir.2012.12.019
  2. Grosso, M., Balderi, A., Arno, M., Sortino, D., Antonietti, A., Pedrazzini, F., Giovinazzo, G., Vinay, C., Maugeri, O., Ambruosi, C., Arena, G. (2015). Prostatic artery embolization in benign prostatic hyperplasia: preliminary results in 13 patients. La Radiologia Medica, 120: 361–368. doi: 10.1007/s11547-014- 0447-3
  3. Gao, Y. A., Huang, Y., Zhang, R., Yang, Y. D., Zhang, Q., Hou, M., & Wang, Y. (2014). Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate– a prospective, randomized, and controlled clinical trial. Radiology, 270(3): 920-928. doi: 10.1148/radiol.13122803
  4. McWilliams, J. P., o, M. D., Rose, S.C., Bagla, S., Caplin, D. M., Cohen, EI, Faintuch, S., Spies, J. B., Saad, W. E., Nikolic, B. (2014). Society of Interventional Radiology position statement: prostate artery embolization for treatment of benign disease of the prostate. Journal of Vascular and Interventional Radiology, 25: 1349-1351. http://dx.doi.org/10.1016/j.jvir.2014.05.005   http://www.scvir.org/clinical/cpg/SIR_Pos_Statmt_PAE_Benign_dis_Prostate.pdf
  5. Pisco, J., Pinheiro, L. C., Bilhim, T., Duarte, M., Tinto, H. R., Fernandes, L., Santos, V. V., & Oliveira, A. G. (2013). Prostatic arterial embolization for benign prostatic hyperplasia: short - and intermediate - term results. Radiology, 266(2): 668-77. doi: 10.1148/radiol.12111601
  6. Bhatia, S., Kava, B., Pereira K., Kably, I., Harward, S., & Narayanan, G. (2015). Prostate artery embolization for giant prostatic hyperplasia. Journal of Vascular and Interventional Radiology. 26(10): 1583-1585. doi: 10.1016/j.jvir.2015.05.024
參考文獻：
  1. Carnevale, F. C., da Motta-Leal- Filho, J. M., MD, Antunes, A. A., Baroni, R. H., Marcelino, A. S. Z., Cerri, L. M. O., Yoshinaga, E. M., MD, Cerri, G. G., & Srougi, M. (2013). Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. Journal of Vascular and Interventional Radiology, 24(4): 535-542. doi: 10.1016/j.jvir.2012.12.019
  2. Grosso, M., Balderi, A., Arno, M., Sortino, D., Antonietti, A., Pedrazzini, F., Giovinazzo, G., Vinay, C., Maugeri, O., Ambruosi, C., Arena, G. (2015). Prostatic artery embolization in benign prostatic hyperplasia: preliminary results in 13 patients. La Radiologia Medica, 120: 361–368. doi: 10.1007/s11547-014- 0447-3
  3. Gao, Y. A., Huang, Y., Zhang, R., Yang, Y. D., Zhang, Q., Hou, M., & Wang, Y. (2014). Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate– a prospective, randomized, and controlled clinical trial. Radiology, 270(3): 920-928. doi: 10.1148/radiol.13122803
  4. McWilliams, J. P., Kuo, M. D., Rose, S.C., Bagla, S., Caplin, D. M., Cohen, E. I., Faintuch, S., Spies, J. B., Saad, W. E., Nikolic, B. (2014). Society of Interventional Radiology position statement: prostate artery embolization for treatment of benign disease of the prostate. Journal of Vascular and Interventional Radiology, 25: 1349-1351. http://dx.doi.org/10.1016/j.jvir.2014.05.005   http://www.scvir.org/clinical/cpg/SIR_Pos_Statmt_PAE_Benign_dis_Prostate.pdf
  5. Pisco, J., Pinheiro, L. C., Bilhim, T., Duarte, M., Tinto, H. R., Fernandes, L., Santos, V. V., & Oliveira, A. G. (2013). Prostatic arterial embolization for benign prostatic hyperplasia: short- and intermediate-term results. Radiology, 266(2): 668-77. doi: 10.1148/radiol.12111601
  6. Bhatia, S., Kava, B., Pereira, K., Kably, I., Harward, S., & Narayanan, G. (2015). Prostate artery embolization for giant prostatic hyperplasia. Journal of Vascular and Interventional Radiology. 26(10): 1583-1585. doi: 10.1016/j.jvir.2015.05.024
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