Bristow S E, Hasan S T, Neal D E
Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK.
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(4):185-90. doi: 10.1007/BF01907070.
To ascertain the mode of action and benefits of transcutaneous electrical nerve stimulation (TENS) in detrusor overactivity, stress incontinence and interstitial cystitis, an English-language literature search using Medline (1984-1995) was undertaken with detrusor instability, incontinence, interstitial cystitis, neuromodulation, transcutaneous electrical nerve stimulation and urodynamics as keywords and the material so identified was reviewed. The mode of action of TENS and optimal stimulation parameters in bladder dysfunction remain unclear. Lack of strict selection criteria and deficient reporting of subjective and objective outcomes precluded full assessment of therapeutic efficacy. A beneficial effect was evident in some studies of detrusor overactivity and interstitial cystitis. A trial of TENS in detrusor overactivity and interstitial cystitis refractory to conventional therapy would seem justified. Continued experimental research and further clinical studies will lead to refinement of the treatment modality.
为确定经皮电刺激神经疗法（TENS）在逼尿肌过度活动症、压力性尿失禁和间质性膀胱炎中的作用方式及益处，我们以逼尿肌不稳定、尿失禁、间质性膀胱炎、神经调节、经皮电刺激神经疗法和尿动力学为关键词，利用Medline（1984 - 1995年）进行了英文文献检索，并对检索到的资料进行了综述。TENS在膀胱功能障碍中的作用方式及最佳刺激参数仍不明确。缺乏严格的选择标准以及主观和客观结果报告不足妨碍了对治疗效果的全面评估。在一些关于逼尿肌过度活动症和间质性膀胱炎的研究中，TENS的有益效果是明显的。对常规治疗无效的逼尿肌过度活动症和间质性膀胱炎患者进行TENS试验似乎是合理的。持续的实验研究和进一步的临床研究将使这种治疗方式更加完善。
