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相关实验视频

为便失禁而进行神经脊柱神经刺激:多中心研究

Klaus E Matzel1, Michael A Kamm, Michael Stösser

  • 1Department of General Surgery, University Hospital Erlangen, Erlangen, Germany. Klaus.Matzel@chir.imed.uni-erlangen.de

Lancet (London, England)
|April 20, 2004
PubMed
概括
此摘要是机器生成的。

圣神经刺激显著改善了便失禁,通过减少发作,提高了关问题患者的生活质量. 当其他方法失败时,这种治疗提供了一个可行的选择.

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科学领域:

  • 结肠直肠手术 结肠直肠手术
  • 神经调节是一种神经调节.
  • 盆地底疾病 盆地底疾病

背景情况:

  • 在有功能缺陷但形态完整的关节的患者中,便失禁的治疗选择有限.
  • 保守的治疗方法往往失败,需要替代治疗方法.

研究的目的:

  • 调查神经神经刺激 (SNS) 在改善禁欲和生活质量的有效性.
  • 评估SNS作为特定患者群体便失禁的治疗方法.

主要方法:

  • 一个多中心前性试验,涉及37名便失禁患者.
  • 34名患者在测试刺激期后接受了神经刺激器植入.
  • 通过日常日记评估禁欲;使用ASCRS和SF-36问卷测量生活质量.

主要成果:

  • 显著减少每周无 incontinence 事件 (平均16.4至2.0) 和无 incontinence 的天数.
  • 减少对染色和使用的需求.
  • 改善了推迟排便的能力,并在多个尺度上提高了生活质量.

结论:

  • 圣神经刺激为便失禁的患者提供了显著的节制改善.
  • SNS提高了生活质量,为精心挑选的患者提供了有价值的治疗选择.
  • 这种神经调节技术解决了难治性便失禁管理的关键未满足需求.