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目的:了解高能聚焦超声(HIFu)治疗BPH的临床效果及安全性。方法:应用FEP-BY02型热疗机对150例BPH患者进行HIFu治疗。结果:150例患者经4～8次治疗后,148例症状较前有明显好转,以治疗后1～3个月改善最为明显,2例疗效欠佳。其中95例Ⅰ、Ⅱ度患者治疗3个月后随访已基本恢复正常,无任何不适;55例Ⅲ度患者中,53例疗效显著,1例因病史长达10年以上,配合欠佳,1例患者由于BPH伴结石,钙化较多,治疗效果欠佳。结论:HIFu治疗BPH安全,效果好,创伤小,并发症少,康复快,尤其对高龄及高危BPH患者不失为首选方法,值得广泛推广。
Objective: To understand the clinical effect and safety of high-intensity focused ultrasound (HIFU) in the treatment of BPH. Methods: 150 patients with BPH were treated with HIFU using FEP-BY02 hyperthermia machine. Results: After the treatment of 4 to 8 times in 150 cases, the symptoms of 148 cases improved obviously, the improvement was most obvious in 1 ~ 3 months after treatment, and the curative effect was poor in 2 cases. Of the 95 patients with grade I and II who were treated for 3 months, their follow-up had basically returned to normal without any discomfort. Of the 55 patients with grade III, 53 were significantly effective and 1 patient had a history of more than 10 years, Cases of patients with BPH stones, calcification, poor treatment. Conclusion: HIFu is safe and effective in treating BPH, with less trauma, less complications and quick recovery. It is worthy of widespread promotion especially for advanced and high-risk BPH patients.