动态石膏整形用于治疗便失禁
C G Baeten1, J Konsten, F Spaans
1Department of Surgery, Maastricht University Hospital, Netherlands.
Lancet (London, England)
|November 9, 1991
概括
动态石膏整形可以恢复严重便失禁的患者的失禁. 这种手术技术使用电刺激的肌肉来改善关节功能和生活质量,当其他治疗方法失败时.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 生物医学工程 生物医学工程
- 盆地地板康复疗法 盆地地板康复疗法
背景情况:
- 严重的便失禁往往需要手术干预.
- 传统的Graciloplasty由于肌肉疲劳而取得的成功有限.
- 动态 (电刺激) 石膏整形显示出改善结果的希望.
研究的目的:
- 评估动态石膏整形术在完全内不的患者中的疗效.
- 评估该程序对关节压力和 incontinence 的影响.
- 为了确定动态石膏整形是否能改善耐火病人的生活质量.
主要方法:
- 十名完全门失禁的患者接受了Gracilis肌肉转移.
- 在手术后6周内植入肌肉导管和可植入的电刺激器.
- 评估了关节的压力,酸盐浸泡剂的保留时间和缺血图.
主要成果:
- 十分之八的患者实现了节制.
- 平均关节压力随着刺激显著增加 (35至62毫米升).
- 酸盐阴道的平均保留时间从22秒增加到281秒.
结论:
- 动态花造形术是一种有效的手术选择,可以在严重的便失禁中恢复 incontinence.
- 该程序显著改善关节功能和患者的生活质量.
- 这种技术为那些对其他治疗没有反应的患者提供了可行的解决方案.
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