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围和直肠神经招募顺序在尾神经刺激器植入手术期间有所不同

Po-Ju Chen^1,2, Amador C Lagunas^1,2, Vanessa Soriano^2,3

¹Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.

Neurourology and urodynamics

|February 10, 2025

概括

乳神经刺激 (PNS) 可以在直肠神经之前激活围神经,为盆腔疼痛提供新的见解,并消除功能障碍治疗. 电极的放置可能会影响尿道反应和患者的结果.

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
盆腔健康盆腔健康

背景情况:

乳神经刺激 (PNS) 是一种新兴的治疗方法,用于治疗盆腔疼痛和排泄功能障碍.
尾神经有直肠和周围的分支,但在手术期间通常只监测直肠分支.
了解神经招募顺序对于优化PNS治疗至关重要.

研究的目的:

为了调查在PNS期间的手术内神经神经招募命令.
为了将神经招募与尿道压力变化和患者报告的结果相关联.
为了提高PNS有效性,为外科置提供信息.

主要方法:

收集了13名接受PNS植入的患者的手术内数据.
在PNS期间使用多传感器导管测量尿道压力.
对比尿道压力变化和外部关节 (EAS) 电肌图,以确定神经招募顺序.
进行骨盆疼痛,膀,肠道和性功能的术前和术后调查.

主要成果:

神经招募顺序各不相同,7名患者首先显示直肠招募,4名患者首先显示周周招募,2名患者混合招募.
随着刺激强度的增加,观察到显著的尿道压力变化.
患者报告骨盆疼痛和膀功能显著改善 (p < 0.04).
在神经招募顺序和症状改善之间没有发现相关性.

结论:

精髓神经刺激可以在直肠神经之前招募周围神经.
个别的电极可能会引起不同的尿道反应.
这些发现提供了关于骨盆神经激活的见解,并指导了未来的PNS系统配置.

关键词:

膀的症状膀的症状电刺激是一种电刺激.外部门关节 - 外部门关节盆腔疼痛盆腔疼痛盆腔疼痛盆腔疼痛尾神经是一种神经.尿道是什么意思尿道是什么意思尿道是什么意思尿道是什么意思

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