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[神经源性膀胱一例中脊髓圆锥电刺激的长期结果]

[Long term results of electric stimulation of the conus medullaris in a case of neurogenic bladder].

作者信息

Sedan R, Bourhis A, Sarrazin C, Barre E, Lazorthes Y, Sarramon J P, Lagarrigue J, Leandri P

出版信息

Neurochirurgie. 1977 Mar 15;23(1):47-54.

PMID:304186
Abstract

The authors present long term results (19 to 45 months: Average 37 months) of electrical stimulation of the conus medullaris in neurologic bladder. In 3 cases, the result remain excellent: efficient stimulation, normal micturition, absence of residual urine. In 6 cases, after a long period of normal function, the micturition is poor with residual urine, eventhough the conus medullaris stimulation always produces a satisfactory contraction of the detrusor. In four cases the relapse is due to disease of the external sphincter region, poorly or untreated. In female patients the results are better than in male patients, with positive results in 2 of the 3 women and 1 of the 6 men. The authors find that their results can be compared with those of B. NASCHOLD, originator of the method. They emphasize the necessity of a close collaboration with the urologist to maintain excellent results.

摘要

作者介绍了对神经源性膀胱患者进行圆锥马尾电刺激的长期结果(19至45个月,平均37个月)。3例结果仍为优:刺激有效,排尿正常,无残余尿。6例在经过一段正常功能期后,排尿不佳且有残余尿,尽管圆锥马尾刺激总能使逼尿肌产生满意的收缩。4例复发是由于外括约肌区域疾病,治疗不佳或未治疗。女性患者的结果优于男性患者,3名女性中有2例结果为阳性,6名男性中有1例结果为阳性。作者发现他们的结果可与该方法的创始人B. NASCHOLD的结果相比较。他们强调与泌尿科医生密切合作以保持优异结果的必要性。

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