在女性患者的阴道分娩后,神经神经调节电极的迁移,非阻塞性尿路保留
Mehdi El-Akri1, Benoit Peyronnet1
1Department of Urology, University of Rennes, Rennes, France.
The French journal of urology
|March 2, 2024
概括
在怀孕期间,神经神经调节 (SNM) 对于过度活跃的膀等疾病可能是安全的. 然而,怀孕和阴道分娩可能会导致电极迁移,需要谨慎管理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经学 神经学
- 产科 产科 产科 产科 产科
背景情况:
- 圣神经调节 (SNM) 是治疗过度活动的膀,保留和便失禁的标准治疗方法.
- 怀孕期间SNM的安全性和管理尚未得到充分证实.
- 克拉拉-福勒综合征是一种影响膀和肠道功能的疾病.
研究的目的:
- 报告SNM在一个患有克拉拉-福勒综合征的孕妇中使用的病例.
- 评估SNM在整个怀孕和产后的安全性和结果.
- 突出怀孕期间SNM的潜在并发症和管理策略.
主要方法:
- 一个病例报告,一名患有克拉拉-福勒综合征的孕妇接受了SNM.
- 在整个怀孕期间持续SNM激活.
- 产后评估设备功能和空洞恢复.
- 由于电极迁移而导致的设备功能障碍的管理.
主要成果:
- 在整个怀孕期间保持SNM,没有明显的对患者或胎儿的不良影响.
- 患者经历了产后设备功能障碍,被确定为电极迁移.
- 成功重新定位电极恢复了自发空气,没有空气后的残留物.
结论:
- 对于某些条件,SNM可能是怀孕期间可行的治疗选择.
- 怀孕和阴道分娩期间的生理变化增加了电极迁移的风险.
- 对于使用SNM设备的孕妇患者来说,仔细监测和管理是必不可少的.
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