Kết quả niệu dòng đồ ở bệnh nhân sau nút mạch điều trị phì đại lành tính tuyến tiền liệt=Uroflow results in patients after prostatic artery embolization for benign prostatic hyperplasia

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Đào Vũ Đỗ, Hoàng Giang Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.153-157

Bộ sưu tập: Metadata

ID: 242230

Thêm vào giỏ

Nghiên cứu này nhằm đánh giá hiệu quả của phương pháp nút mạch trong điều trị u lành tính tuyến tiền liệt (BPH) thông qua các chỉ số niệu dòng đồ. Đối tượng và Phương pháp: Nghiên cứu tiến cứu bao gồm các bệnh nhân BPH được điều trị bằng nút mạch tại bệnh viện Bạch Mai từ tháng 6 năm 2022 đến tháng 6 năm 2024. Các chỉ số niệu dòng đồ, bao gồm lưu lượng niệu tối đa (Qmax), lưu lượng niệu trung bình, và thể tích đi tiểu, thể tích tiểu tồn dư và thời gian đi tiểu được đo trước và sau can thiệp. Kết quả: Sau nút mạch, có sự cải thiện rõ rệt trong các chỉ số niệu dòng đồ. Qmax tăng từ 7,5 ± 2,3 ml/s lên 12.4 ± 3,2 ml/s (p <
0,01). Thể tích tiểu trong một lần từ 180 ± 45 lên 240 ± 50ml (p<
0,05), tiểu tồn dư 70 ± 20ml giảm còn 30 ± 15ml (p<
0,01)và thồi gian đi tiểu cho thấy sự cải thiện đáng kể từ 45 ± 10 giảm xuống 30 ± 15 giây (p<
0,01). Kết luận: Nút mạch là một phương pháp điều trị hiệu quả cho BPH, dẫn đến sự cải thiện đáng kể trong các chỉ số niệu dòng đồ và có thể cải thiện chất lượng cuộc sống của bệnh nhân.This study aims to evaluate the efficacy of the transarterial embolization method in treating benign prostatic hyperplasia (BPH) through urodynamic parameters. Methods: This prospective study includes BPH patients treated with transarterial embolization at Bach Mai Hospital from January 2023 to June 2024. Urodynamic parameters, including maximum urinary flow rate (Qmax), average urinary flow rate, voided volume, postvoid residual volume, and micturition time, were measured before and after the intervention. Results: After transarterial embolization, there was a significant improvement in urodynamic parameters. Qmax increased from 7.5 ± 2.3 ml/s to 12.4 ± 3.2 ml/s (p <
0.01). The voided volume per micturition increased from 180 ± 45 ml to 240 ± 50 ml (p <
0.05), post-void residual volume decreased from 70 ± 20 ml to 30 ± 15 ml (p <
0.01), and micturition time showed a significant improvement from 45 ± 10 seconds to 30 ± 15 seconds (p <
0.01). Conclusion: Transarterial embolization is an effective treatment for BPH, leading to significant improvements in urodynamic parameters and potentially enhancing patients' quality of life.

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