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脊髓部分损伤后粪便失禁的胫后神经刺激:初步报告

Posterior tibial nerve stimulation for faecal incontinence after partial spinal injury: preliminary report.

作者信息

Mentes B B, Yüksel O, Aydin A, Tezcaner T, Leventoğlu A, Aytaç B

机构信息

Department of Surgery, Gazi University Medical School, Beşevler 06500 Ankara, Turkey.

出版信息

Tech Coloproctol. 2007 Jun;11(2):115-9. doi: 10.1007/s10151-007-0340-3. Epub 2007 May 25.

Abstract

BACKGROUND

This study evaluated the possible effects of posterior tibial nerve stimulation in two patients with faecal incontinence due to partial spinal cord injury.

METHODS

Posterior tibial nerve stimulation was performed for 30 min, every other day for 4 weeks, and was then repeated every 2 months for three months. Clinical examination, anorectal physiological work-up, faecal incontinence severity index, and quality of life assessments were performed before and after the treatment.

RESULTS

After posterior tibial nerve stimulation, patients showed improvement in rectal sensory threshold, pudendal nerve terminal motor latency, Wexner faecal incontinence score, faecal incontinence severity index, faecal incontinence quality of life scales, resting pressure, and maximum squeeze pressure measurements.

CONCLUSIONS

Posterior tibial nerve stimulation can be an effective method for the treatment of faecal incontinence caused by partial spinal cord injury.

摘要

背景

本研究评估了胫后神经刺激对两名因部分脊髓损伤导致大便失禁患者的可能影响。

方法

进行胫后神经刺激,每次30分钟,隔天一次,共4周,然后每2个月重复一次,持续3个月。在治疗前后进行临床检查、肛门直肠生理检查、大便失禁严重程度指数及生活质量评估。

结果

胫后神经刺激后,患者在直肠感觉阈值、阴部神经终末运动潜伏期、韦克斯纳大便失禁评分、大便失禁严重程度指数、大便失禁生活质量量表、静息压力和最大收缩压测量方面均有改善。

结论

胫后神经刺激可能是治疗部分脊髓损伤所致大便失禁的有效方法。

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