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骶神经调节器植入术治疗隐性骶裂神经源性膀胱长期随访1例 被引量:4

Long-term follow-up for neurogenic bladder treated by sacral neuromodulation: 1 case report
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摘要 目的探讨骶神经电刺激治疗神经源性膀胱的临床效果。方法采用骶神经电刺激技术治疗1例神经源性膀胱患者,通过排尿日记和症状改善程度随访并评估疗效。结果患者测试刺激前后症状改善了50%以上。植入永久性电极和骶神经调节器,随访3年半,疗效满意,无不良反应。结论骶神经电刺激治疗部分神经源性膀胱患者有一定疗效。 Objective To explore the efficacy and safety of sacral neuromodulation (SNM) for the treatment to neurogenic bladder. Methods One patient with neurogenic bladder after spinal bifida underwent the therapy of SNM 42 months ago. The therapeutic efficacy was evaluated and followed up by means of the symptom improvement and voiding diaries. Results During the test stimulation period,there were significant improvements (〉50%) in the objective findings and subjective symptoms. This patient received permanent electrode and neurostimulator implantation and lower urinary tract symptoms were improved continuously until 42 months. Conclusion SNM may be effective for some neurogenic dysfunctions of the bladder.
出处 《中国康复理论与实践》 CSCD 2005年第11期901-902,共2页 Chinese Journal of Rehabilitation Theory and Practice
关键词 骶神经电刺激 神经源性膀胱 隐性骶裂 调节器植入术 sacral neuromodulation neurogenic bladder spinal bifida
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参考文献5

  • 1Chartier-Kastler EJ,Ruud Bosh JL,Perrigot M,et al.Long term results of sacral nerve stimulation (S3) for the treatment of neurogenic refractory urge incontinence related to detrusor hyperreflexia[J]. J Urol,2000,164:1476-1480.
  • 2Hohenfellner M,Humke J,Hampel C,et al.Chronic sacral neuromodulation for treatment of neurogenic bladder dysfunction:Long-term results with unilateral implants[J].Urology,2001,58:887-892.
  • 3谢克基,廖利民,杨勇,李江婷,汤平,姜少军,曾格瓦,伍信阳.骶神经调节治疗隐性骶椎裂排尿功能障碍一例报告[J].中华泌尿外科杂志,2002,23(5):310-310. 被引量:8
  • 4Zvara P. An animal model for the neuromodulation of neurogenic bladder dysfunction[J]. Br J Urol,1998,82:267-271.
  • 5Schurch B. Electrophysiological recordings during the peripheral nerve (PNE) test in complete spinal cord injure patients[J]. World J Urol,2003,20:319-322.

二级参考文献2

  • 1Bosch JLHR,Goren J.Sacral nerve neuromodulation in the treatment of patients with refractory motor urge incontinence: longterm results of a prospective longitudinal study[].Journal d Urologie.2000
  • 2Siegel SW,Catanzaro F,Dijkema HE,et al.Long-term results of a multicenter study on sacral nerve stimulation for treatment of urinary urge incontinence, urgency-frequency,and retention[].Urology.2000

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