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[骶神经调节:适应症及技术要点]

[Sacral neuromodulation: Indications and technical aspects].

作者信息

Guillot-Tantay C, Phé V

机构信息

Service urologie, hôpital universitaire La Pitié Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.

Service urologie, hôpital universitaire La Pitié Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.

出版信息

Prog Urol. 2018 Nov;28(14):767-771. doi: 10.1016/j.purol.2018.07.279. Epub 2018 Aug 31.

Abstract

Sacral neuromodulation is a second line therapy, especially indicated in overactive bladder. The initial assessment includes a complete clinical examination with a frequency-volume chart. The cystoscopy and urodynamics are optional. There are two steps in the implantation of a sacral neuromodulation: first, the implantation of the electrode to test if the device is efficient and corrects the urinary disorder. Two, the implantation of the neuromodulation itself. During the follow-up, the role of the nurse is crucial in explaining to the patients how the device works. Post-operative follow-up is based on the frequency-volume chart and the feeling of the patient's back. It also includes the surveillance of the postoperative scares.

摘要

骶神经调节是一种二线治疗方法,尤其适用于膀胱过度活动症。初始评估包括通过频率-容量图表进行全面的临床检查。膀胱镜检查和尿动力学检查为可选项。骶神经调节植入有两个步骤:首先,植入电极以测试该装置是否有效并纠正排尿障碍。其次,进行神经调节装置本身的植入。在随访期间,护士的作用对于向患者解释该装置的工作原理至关重要。术后随访基于频率-容量图表以及患者背部的感觉。它还包括对术后瘢痕的监测。

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