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目的:探讨小儿泌尿外科术中采用神经电调节改善早期排尿功能障碍的临床价值。方法:采用回顾性研究方法,2014年1月到2016年2月选择在小儿泌尿外科进行诊治的患儿120例,根据随机数字表法分为观察组与对照组各60例,两组都给予常规手术治疗,对照组在术中采用常规膀胱训练,观察组在术中给予神经电调节刺激,记录两组术后排尿功能障碍恢复情况。结果:所有患儿都顺利完成手术,观察组与对照组的总有效率分别为98.3%和88.3%,观察组比对照组明显要高(P<0.05)。治疗后观察组的24h排尿次数和24h尿失禁次数分别为(6.53±1.32)次和(0.89±0.42)次,都明显低于对照组的(8.92±1.41)次和(1.87±0.54)次(P<0.05)。观察组与对照组治疗后的最大尿道压力、充盈期逼尿肌压力与治疗前对比差异有统计学意义(P<0.05),同时治疗后观察组的最大尿道压力、充盈期逼尿肌压力与对照组对比均差异有统计学意义(P<0.05)。观察组与对照组治疗期间的感染、肠道功能改变、盆腔血肿等并发症发生率分别为10.0%和8.3%,两组对比差异无统计学意义(P>0.05)。结论:小儿泌尿外科术中采用神经电调节干预能改善早期排尿功能障碍,改善最大尿道压力和充盈期逼尿肌压力,安全性比较好,从而促进临床疗效的提高,有很好的临床应用价值。
Objective: To investigate the clinical value of using neuroelectrical regulation to improve early micturition dysfunction in pediatric urology. Methods: A retrospective study was conducted. From January 2014 to February 2016, 120 children were enrolled in pediatric urology. According to the random number table, they were divided into observation group and control group, 60 cases each. Both groups were given Conventional surgical treatment, the control group in the operation of conventional bladder training, the observation group was given intraoperative neuromodulation stimulation, recording the recovery of urination dysfunction in both groups. Results: All children underwent surgery successfully. The total effective rate was 98.3% in the observation group and 88.3% in the control group. The observation group was significantly higher than the control group (P <0.05). After treatment, the numbers of urination 24h and urinary incontinence in observation group were (6.53 ± 1.32) and (0.89 ± 0.42) times, respectively, which were significantly lower than those in control group (8.92 ± 1.41) and (1.87 ± 0.54) times P <0.05). The maximal urethral pressure, the detrusor pressure during filling in the observation group and the control group were significantly different from those before treatment (P <0.05), and the maximal urethral pressure, detrusor pressure during filling and There was significant difference in the control group (P <0.05). The complication rates of infection, intestinal function change and pelvic hematoma in the observation group and the control group were 10.0% and 8.3% respectively, there was no significant difference between the two groups (P> 0.05). Conclusion: The neuroelectrical regulation intervention in pediatric urology can improve early voiding dysfunction, improve maximal urethral pressure and detrusor pressure during filling, with better safety, which can promote the improvement of clinical efficacy and has good clinical value .