[神圣神经调节用于便失禁和便秘:证据,编程和长期管理]
Birgit Bittorf1, Klaus Matzel1
1Chirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland.
Zentralblatt fur Chirurgie
|June 2, 2023
概括
圣神经调节 (SNM) 是一种安全有效的长期治疗便失禁的方法. 建议进行结构化后续,以优化治疗效果并管理电池耗尽等潜在问题.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
背景情况:
- 圣神经调节 (SNM) 是一种广泛采用的手术治疗功能性骨盆底障碍的方法.
- 它是用于便失禁的首选手术选择,尽管其确切的作用机制尚不清楚.
研究的目的:
- 审查编程圣部神经调节及其在便失禁和便秘的长期结果的文献.
- 评估SNM在管理这些情况中的有效性和安全性.
主要方法:
- 进行了全面的文献搜索,重点关注SNM编程和长期结果.
- 分析包括编程参数 (电极配置,振幅,脉冲频率,脉冲宽度) 和患者的结果.
主要成果:
- 在治疗便失禁方面,SNM表现出长期的成功,其扩大了包括关节病变在内的指示.
- 对便秘的有效性不那么有说服力,目前的一般建议是不使用它,尽管子组可能会受益.
- 75%的患者需要重新编程,通常是由于效率的变化;长期需要再进行手术,最多可达65%,主要是因为电池耗尽.
结论:
- 圣神经调节是一种安全有效的长期治疗便失禁的方法.
- 建议采用结构化的后续治疗方案,以优化治疗结果和管理潜在的并发症.
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