前列腺增生微创手术方式在中国患者中的应用选择

史本康; 李岩; 杜飞

doi:10.13201/j.issn.1001-1420.2023.10.001

前列腺增生微创手术方式在中国患者中的应用选择

- 山东大学齐鲁医院泌尿外科(济南，250012)

详细信息

作者简介:
史本康，教授，博士生导师，山东大学齐鲁医院泌尿外科主任，泰山学者特聘专家。目前担任国家卫健委微创与腔镜全国考评委员会泌尿科专业委员会副主席、中国医师协会男科学分会专家指导委员会副组长、中国医师协会男科和性医学分会副会长、中国抗癌协会男性生殖系统肿瘤专业委员会副主任委员、中国人体健康促进会泌尿肿瘤分会副主任委员、中国医师协会中西医结合泌尿外科专家委员会副主任委员、中国临床肿瘤学会前列腺癌专家委员会副主任委员、中国临床肿瘤学会前列腺癌诊疗指南副主编、中国初级卫生保健基金会泌尿外科专业委员会副主任委员、中国医师协会泌尿外科分会常委兼膀胱癌协作组副组长、中国中药协会男科药物研究分会副主任委员、中国老年保健协会盆底医学委员会副主任委员等职务。擅长泌尿男生殖系肿瘤、前列腺疾病、膀胱功能障碍性疾病的诊治和微创手术，现主持20余项国家级、省级课题，在国内外杂志发表文章100余篇。先后获得科技部恩德思医学科技奖内镜微创名医奖，全国优秀科技工作者、中国内镜与微创百位名医、中华医学会泌尿外科学分会感染与炎症领域“神农氏奖”，山东省智库高端人才, 第四届“国之名医”等称号，3次以第一位获山东省科技进步奖

通讯作者: 史本康，E-mail：bkang68@sdu.edu.com

中图分类号: R697

收稿日期: 2023-08-21

刊出日期: 2023-10-06

Application selection of minimally invasive surgical methods for benign prostatic hyperplasia in Chinese patients

- Department of Urology, Qilu Hospital of Shandong University, Jinan, 250012, China

More Information

Corresponding author: SHI Benkang, E-mail: bkang68@sdu.edu.com

Received Date: 21 August 2023

Publish Date: 06 October 2023

摘要

摘要: 良性前列腺增生是老年男性患者常见的良性疾病，对于药物等保守治疗效果不佳的患者，前列腺微创手术是治疗良性前列腺增生的有效方式。随着医疗技术的进展，微创手术方式越来越多，包括经尿道前列腺电切术、经尿道前列腺激光手术、前列腺热蒸汽消融术、前列腺动脉栓塞术、前列腺支架置入术等多种手术方式。本文对前列腺增生微创手术进行总结，尤其是对于中国前列腺增生患者目前可选择的治疗方式进行了总结和评述。
- 前列腺增生 /
- 微创手术
Abstract: Benign prostatic hyperplasia is a common benign disease in elderly male patients.Prostate surgery is an effective treatment for benign prostatic hyperplasia.With the advancement of medical technology, there are many minimally invasive surgical methods can be chosen, including transurethral resection of the prostate, transurethral prostate laser surgery, prostate thermal vapor ablation, prostate artery embolization, prostate stent implantation, and other surgical methods. This article summarizes the minimally invasive surgery for benign prostatic hyperplasia, especially the treatment options currently available for Chinese patients with benign prostatic hyperplasia.
- benign prostatic hyperplasia /
- minimally invasive surgery

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参考文献(40)

[1]	Langan RC. Benign prostatic hyperplasia[J]. Prim Care, 2019, 46(2): 223-232.
[2]	Miernik A, Gratzke C. Current treatment for benign prostatic hyperplasia[J]. Dtsch Arztebl Int, 2020, 117(49): 843-854.
[3]	Huang J, Chan CK, Yee S, et al. Global burden and temporal trends of lower urinary tract symptoms: a systematic review and meta-analysis[J]. Prostate Cancer Prostatic Dis, 2023, 26(2): 421-428. doi: 10.1038/s41391-022-00610-w
[4]	Serretta V, Morgia G, Fondacaro L, et al. Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990 s: a contemporary series of 1800 interventions[J]. Urology, 2002, 60(4): 623-627.
[5]	Chen F, Chen YJ, Zou YS, et al. Comparison of holmium laser enucleation and transurethral resection of prostate in benign prostatic hyperplasia: a systematic review and meta-analysis[J]. J Int Med Res, 2023, 51(8): 3000605231190763.
[6]	叶敏, 陈建华, 孔良, 等. 经尿道前列腺电切术的并发症及其防治[J]. 中华泌尿外科杂志, 1997, 18(6): 41-43.
[7]	魏强, 鲍一歌. 经尿道前列腺电切术仍是前列腺增生症治疗的首选方法[J]. 现代泌尿外科杂志, 2012, 17(3): 294-298. doi: 10.3969/j.issn.1009-8291.2012.03.028
[8]	Shvero A, Calio B, Humphreys MR, et al. HoLEP: the new gold standard for surgical treatment of benign prostatic hyperplasia[J]. Can J Urol, 2021, 28(S2): 6-10.
[9]	夏术阶, 崔迪. 前列腺增生及其术后相关问题的激光治疗[J]. 中华医学杂志, 2023, 103(18): 1373-1375.
[10]	Zhang XM, Shen PF, He QY, et al. Different lasers in the treatment of benign prostatic hyperplasia: a network meta-analysis[J]. Sci Rep, 2016, 6: 23503.
[11]	王忠, 陈彦博, 陈其, 等. 经尿道前列腺钬激光剜除术治疗良性前列腺增生的疗效研究[J]. 现代泌尿外科杂志, 2013, 18(6): 535-537.
[12]	陈卓, 袁晓亮, 张亚杰. 经尿道前列腺钬激光剜除术和经尿道前列腺电切术治疗良性前列腺增生比较[J]. 中华老年多器官疾病杂志, 2018, 17(1): 61-65.
[13]	安子彦, 赵健, 符伟军, 等. 激光剜除术在前列腺增生中的应用进展[J]. 微创泌尿外科杂志, 2021, 10(6): 424-429.
[14]	Das AK, Han TM, Hardacker TJ. Holmium laser enucleation of the prostate(HoLEP): size-independent gold standard for surgical management of benign prostatic hyperplasia[J]. Can J Urol, 2020, 27(S3): 44-50.
[15]	Kim DH, Kang CS, Choi JW, et al. The Efficacy and Safety of 'Inverted Omega En-bloc' Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia: A Size-Independent Technique for the Surgical Treatment of LUTS[J]. World J Mens Health, 2023, 41: e41.
[16]	Mustafa M, Sowedy A, Nashrati O, et al. The efficacy of green light laser prostatectomy in the management of urinary retention due to prostate hyperplasia[J]. Lasers Med Sci, 2019, 34(6): 1201-1205.
[17]	刘一鸿, 安瑞华. 铥激光在泌尿外科中的应用现状[J]. 现代泌尿外科杂志, 2016, 21(6): 487-490.
[18]	Kyriazis I, Świniarski PP, Jutzi S, et al. Transurethral anatomical enucleation of the prostate with Tm: YAG support(ThuLEP): review of the literature on a novel surgical approach in the management of benign prostatic enlargement[J]. World J Urol, 2015, 33(4): 525-530.
[19]	Aćimović M, Rafailović D, Bumbaširević U, et al. Diode laser vaporization of prostate as treatment for benign prostatic enlargement: initial results of 73 patients with 1 year follow-up[J]. Acta Chir Iugosl, 2014, 61(1): 21-24.
[20]	周发友, 章小毅, 王允武, 等. 经尿道1470纳米半导体激光汽化术治疗前列腺增生的疗效分析[J]. 中国内镜杂志, 2016, 22(12): 26-29. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ201612006.htm
[21]	Xu XF, Jiang DL, Liu GX, et al. In vitro evaluation of the safety and efficacy of a high-power 450-nm semiconductor blue laser in the treatment of benign prostate hyperplasia[J]. Lasers Med Sci, 2022, 37(1): 555-561.
[22]	Goepel M, Senge A, Otto T, et al. Long-term results of Wllstent implantation in benign prostatic hyperplasia and in high-risk groups[J]. Der Urol A, 1997, 36(2): 151-156.
[23]	那彦群, 郝金瑞, 刘重禄, 等. 形状记忆合金网状支架治疗前列腺增生症[J]. 中华泌尿外科杂志, 1995, 16(6): 354-356. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMN506.020.htm
[24]	钱海宁, 屈平保, 稽军. 镍钛记忆合金网状支架治疗前列腺增生伴尿潴留175例远期疗效评估[J]. 中国男科学杂志, 2010, 24(3): 52-54. https://www.cnki.com.cn/Article/CJFDTOTAL-NXXX201003021.htm
[25]	卢一平, 梁嘉宇. 良性前列腺增生微创治疗新进展[J]. 中华男科学杂志, 2016, 22(5): 387-392. https://www.cnki.com.cn/Article/CJFDTOTAL-NKXB201605001.htm
[26]	Long JD, Smith SR, Members of the Cochrane Nursing Care(CN). Prostatic urethral lift for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia: a Cochrane review summary[J]. Int J Nurs Stud, 2021, 115: 103492.
[27]	Gratzke C, Barber N, Speakman MJ, et al. Prostatic urethral lift vs transurethral resection of the prostate: 2-year results of the BPH6 prospective, multicentre, randomized study[J]. BJU Int, 2017, 119(5): 767-775.
[28]	Bhojani N, Bidair M, Kramolowsky E, et al. Aquablation Therapy in Large Prostates(80-150 mL)for Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: Final WATER Ⅱ 5-Year Clinical Trial Results[J]. J Urol, 2023, 210(1): 143-153.
[29]	Das A, Morgan KL, Yafi F. Water vapor thermal therapy: minimally invasive treatment for benign prostatic hyperplasia[J]. J Endourol, 2022, 36(S2): S6-S11.
[30]	Janakiraman S, Felice M, Pahouja G, et al. Risk factors for persistent lower urinary tract symptoms 1 month following convective water vapor thermal therapy(CWVTT-rezum)[J]. Urology, 2023: S0090-4295(23)00513.
[31]	Teichgräber U, Aschenbach R, Diamantis I, et al. Prostate artery embolization: indication, technique and clinical results[J]. Rofo, 2018, 190(9): 847-855.
[32]	刘晶磊, 李亮, 曹莉明, 等. 精准前列腺动脉栓塞术对高龄良性前列腺增生患者的疗效及相关实验室指标的影响[J]. 中国性科学, 2021, 30(3): 3-6. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ202103004.htm
[33]	王建峰, 陈星, 刘乃波, 等. 经尿道前列腺纽扣式等离子电极汽化剜除术治疗前列腺增生的疗效观察[J]. 微创泌尿外科杂志, 2017, 6(6): 364-367. https://www.cnki.com.cn/Article/CJFDTOTAL-WCMN201706012.htm
[34]	Mariano MB, Graziottin TM, Tefilli MV. Laparoscopic prostatectomy with vascular control for benign prostatic hyperplasia[J]. J Urol, 2002, 167(6): 2528-2529.
[35]	Kaouk J, Sawczyn G, Wilson C, et al. Single-port percutaneous transvesical simple prostatectomy using the SP robotic system: initial clinical experience[J]. Urology, 2020, 141: 173-177.
[36]	Sotelo R, Clavijo R, Carmona O, et al. Robotics imple prostatectomy[J]. J Urol, 2008, 179(2): 513-515.
[37]	石昌健, 杜博森, 许杰, 等. 腹腔镜下单纯前列腺切除治疗30例大体积前列腺增生报告[J]. 现代泌尿外科杂志, 2023, 28(8): 654-658. https://www.cnki.com.cn/Article/CJFDTOTAL-MNWK202308004.htm
[38]	Kaplan SA. Re: preperitoneal single-port transvesical enucleation of the prostate(STEP)for large-volume BPH: one-year follow-up of qmax, IPSS, and QoL[J]. J Urol, 2013, 189(5): 1822-1823.
[39]	郭应禄. 经尿道柱状水囊前列腺扩开术[M]. 北京: 北京大学医学出版社, 2015.
[40]	Porto JG, Arbelaez MCS, Blachman-Braun R, et al. Complications associated with minimally invasive surgical therapies(MIST)for surgical management of benign prostatic hyperplasia: a Manufacturer and User Facility Device Experience(MAUDE)database review[J]. World J Urol, 2023, 41(7): 1975-1982.