论文部分内容阅读
目的探讨应用新型倒刺电极(Tined-lead)对神经源性膀胱患者行S3骶神经调节(SNM)的初步疗效。方法对5例神经源性膀胱患者采用新型倒刺电极,在X线监测下将电极植入S3骶神经孔,进行SNM。术前、术后详细记录排尿日记,用影像尿动力学方法评估患者的膀胱尿道功能。结果患者1(隐性骶裂)术后排尿次数和排尿量分别改善22%和49%;患者2(隐性骶裂)术后排尿次数、排尿量和残余尿量分别改善0.7%、11%和46%;患者3(隐性骶裂)术后排尿次数、排尿量和残余尿量分别改善0.4%、18%和44%。患者4(脑外伤)术后漏尿次数和漏尿量分别改善36%和54%。患者5(高位截瘫)术后间歇导尿次数和导尿量分别改善42%和54%,尿动力学参数改善37%~45%。结论用新型倒刺电极进行SNM为神经源性膀胱的治疗提供了一条新的可供选择的微创方法。
Objective To investigate the primary efficacy of S3 nerve regeneration (SNM) in patients with neurogenic bladder using a new type of Tined-lead. Methods Five patients with neurogenic bladder were treated with a new type of barbed electrode. The electrode was implanted into the S3 sacral nerve via X-ray and SNM was performed. Diuresis was recorded preoperatively and postoperatively, and the urinary bladder function was evaluated by image urodynamics. Results The number of urination and urination in patients with recessive sacral rupture were improved by 22% and 49% respectively. The numbers of urination, urination and residual urine in patients with recessive sacral rupture were improved by 0.7% and 11% And 46% respectively. The number of urination, urine output and residual urine volume in patients with recessive sacral rupture were improved by 0.4%, 18% and 44% respectively. Patient 4 (traumatic brain injury) had a 36% and 54% improvement in the number of urine leakage and urine leakage respectively. The number of intermittent catheterization and catheterization improved by 42% and 54%, respectively, and the urodynamic parameters improved by 37% -45% in patients 5 (high paraplegia). Conclusion The new type of barbed electrode SNM for the treatment of neurogenic bladder provides a new minimally invasive method to choose.