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在八代女性中,神经神经调节对过度活跃的膀的结果
Eugene W Lee1, Una J Lee1, Alvaro Lucioni1
1Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, Washington.
Urology practice
|August 4, 2023
概括
圣神经调节对于膀过度活跃的老年妇女是有效的,显示出高的成功率和患者满意度. 高龄不应该阻止对精心挑选的患者考虑这种治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
- 神经调节是一种神经调节.
背景情况:
- 耐火性过活性膀 (OAB) 在老年妇女中很常见.
- 临床医生和患者可能会犹是否考虑为这个人口群体进行神经神经调节 (SNM).
研究的目的:
- 调查80岁及以上,膀过活的女性神经神经调节的结果.
- 评估SNM在八十多岁人口中的疗效和安全性.
主要方法:
- 对24名患有OAB的八十多岁妇女进行了回顾性审查,这些妇女接受了第1阶段的圣神经调节 (InterStim®).
- 第1阶段的成功被定义为 ≥50%的 incontinence 情节或子使用的改善.
- 主要结局是第一阶段的成功率;次要结局包括并发症率和患者报告的满意度.
主要成果:
- 75%的患者 (18/24) 取得了第一阶段的成功.
- 在平均17个月的随访期内,72%的人取得了持续的成功,而83%的人没有服用药物.
- 并发症不常见 (12%) 和轻微,患者报告的改善率高 (50%大大改善) 和满意度 (60%).
结论:
- 圣神经调节显示了高的第1阶段成功率,在八十多岁的女性中,OAB的严重并发症最小.
- 大多数患者报告显著改善和满意度.
- 高龄不应成为考虑SNM的障碍,适合选择具有耐火性OAB的老年患者.
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