ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ HÌNH ẢNH CỘNG HƯỞNG TỪ Ở BỆNH NHÂN TĂNG SINH LÀNH TÍNHTUYẾN TIỀN LIỆT ĐƯỢC CAN THIỆP NÚT ĐỘNG MẠCH TUYẾN TIỀN LIỆT

Abstract

Objectives: To describe the clinical, paraclinical and magnetic resonance imaging characteristics of patients with benign prostatic hyperplasia undergoing prostatic artery embolization. Subjects and research methods: A retrospective study was performed on 66 patients with benign prostatic hyperplasia who underwent prostatic artery embolectomy at Huu Nghi Hospital from May 2015 to June 2019. Describe clinical, paraclinical and magnetic resonance images before intervention. Results: From May 2015 to June 2019, there were 66 patients with mean age 73.58±7.9 years, mean prostate volume 62.8±29.86 mL, mean PSA concentration 10±18.57 ng/mL. All patients had severe lower urinary tract syndrome (IPSS > 20 points), of which the highest percentage was score > 30 with 59.1%; Urinary incontinence is the symptom with the highest frequency with the rate of 92.4%, followed by the symptoms of intermittent urination 72.7% and weak urine stream 66.7%. The most common form of prostate morphological change on magnetic resonance imaging according to Wasserman's classification was type 1 (28.8%) and type 3 (37.9%), none of which were classified as type 4. Benign prostatic hyperplasia with protrusion into the bladder was mainly seen in type 5 with 14/23 cases. Among the cases with protrusion into the bladder, grade 3 (>10mm) accounted for the majority with the rate of 69.6%. Conclusion: Selection of patients for prostatic artery embolization depends on many factors including clinical symptoms and biochemical as well as diagnostic imaging with the aim of accurately assessing disease status. In which, magnetic resonance is a valuable imaging method to evaluate the volume, morphology, and properties of the pre-interventional parenchyma.