在非瘤性骨盆手术后,用于排便障碍的神经神经调节
Jacopo Martellucci1, Alfredo Annicchiarico2,3,4, Maximilian Scheiterle1
1Emergency Surgery, Careggi University Hospital, Florence, Italy.
圣神经调节 (SNM) 有效地治疗盆腔或结直肠手术后的排便障碍. 这种安全的程序为便秘和疏散问题提供了长期的好处,改善了患者的治疗结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 神经学 神经学
- 胃肠病学 胃肠病学
背景情况:
- 排便障碍 (DD) 可以使骨盆或结直肠手术的结果复杂化.
- 圣神经调节 (SNM) 是这些术后并发症的潜在治疗方法.
研究的目的:
- 评估SNM在治疗便秘和骨盆或结直肠手术后疏散障碍的疗效.
主要方法:
- 对手术后DD接受SNM的患者的回顾性分析 (2010年1月至2020年12月).
- 根据罗马四号标准分类的患者和计量结果 (不充分的推进功能或不协同的排便).
- 克利夫兰诊所便秘评分 (CCCS) 和SF-36评估了结果.
主要成果:
- 73.3%的患者获得了足够的好处,可以进行最终的设备植入.
- 在接受测试的患者中,59.4%的患者在平均6.3年的随访后仍然保留了功能设备.
- 手术前的CCCS为17.5,在一年内降至10.4 (p < 0.001).
结论:
- 术后排便功能障碍SNM是一种可行的,安全的,耐受性良好的治疗方法.
- 该程序为患有良性疾病的患者提供了持久的长期益处.
- 在干预后,SNM显示了便秘得分的显著改善.
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