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可充电圣骨神经调节用于便失禁的结果:单中心观察性研究

Michael Okocha^1,2, Carlotta La Raja¹, Stella Nikolaou¹

¹Sir Alan Park's Physiology Unit, St Mark's the National Bowel Hospital, London, UK.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

|December 22, 2025

概括

用于便失禁的可充电圣经神经调节 (rSNM) 显示患者满意度低,临床益处有限,充电和连接问题频繁出现. 非可充电系统可能是管理FI的更好的第一线选择.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
胃肠病学胃肠病学
神经调节是一种神经调节.

背景情况:

便失禁 (FI) 是一种具有显著心理社会影响的衰弱性疾病.
可充电圣经神经调节 (rSNM) 提供了潜在的好处,如延长电池寿命和MRI兼容性,用于FI管理.
关于RSNM对FI的疗效,安全性和可接受性的现实数据有限.

研究的目的:

评估可充电圣经神经调节 (rSNM) 在便失禁 (FI) 患者的实际有效性,安全性和患者满意度.

主要方法:

一个单一中心的观察队列研究包括37名接受rSNM治疗FI的患者.
经过验证的问卷 (圣马克FI评分,洛克伍德FIQOL,SF-36) 和电话采访评估了结果,不良事件和满意度.
研究人员审查了临床记录,以查看手术和随访数据.

主要成果:

报告称,对设备的满意度很低,62%的人对该程序表示遗憾,96%的人遇到充电困难.
连接问题影响了86%的患者,6名患者需要设备扩展.
节制得分的改善是温和的,生活质量持续下降.

结论:

rSNM在这个队列中表明FI的临床益处有限,其特点是高不满和管理挑战.
由于不满和外科修订,人们注意到对更广泛的适用性存在担忧.
非可充电系统可能是FI管理的更可接受的第一线选择.

关键词:

便失禁便失禁便失禁便失禁可充电的圣骨神经调节神经调节节骨神经刺激神经刺激圣节神经调节神经调节.

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