在患有排便障碍的儿童和青少年中神经神经调节
Manuel Besendörfer1, Christian Knorr2, Annemarie Kirchgatter1
1Department of Surgery, Section of Pediatric Surgery, Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, University Hospital Erlangen, Erlangen, Germany.
Neurogastroenterology and motility
|May 4, 2024
概括
圣神经调节 (SNM) 显示出治疗儿童和青少年慢性便秘的前景. 这种疗法改善了大多数患者的排便频率和便失禁,为耐火病例提供了新的选择.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 神经学 神经学
- 手术创新 在外科创新.
背景情况:
- 像希尔施普隆病和功能性便秘这样的神经肠道病缺少专门的治疗方法.
- 圣神经调节 (SNM) 是一种成熟的治疗成人排便障碍的疗法.
研究的目的:
- 研究SNM在患有常规疗法不耐用的慢性便秘的儿科患者的疗效.
- 评估接受SNM的儿童和青少年的临床结果和生活质量.
主要方法:
- 一个前性的,双中心的试验,涉及15名儿科患者 (中位数年龄为8岁) 从2019-2022.
- 持续的SNM与个别调整的强度,结果评估在手术后的3,6和12个月.
- 主要结局包括便失禁和排便频率的改善,以及生活质量分析 (KINDL).
主要成果:
- 53%的患者 (8/15) 出现了改善的排便频率;75% (9/12) 出现了减少的便失禁.
- 经过一年的治疗后,观察到稳定的积极结果.
- 一名患者因电极断裂而需要手术修复;两名患者 (13%) 经历了可控的尿失禁.
结论:
- 在儿童慢性便秘方面,SNM显示出有前途的临床结果,这种慢性便秘对保守的治疗没有反应.
- 需要进一步的研究来证实SNM在肠道神经病变患者中的适用性.
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