胫后神经刺激治疗膀胱过度活动症——技术与疗效
Posterior tibial nerve stimulation for overactive bladder-techniques and efficacy.
作者信息
Bhide Alka A, Tailor Visha, Fernando Ruwan, Khullar Vik, Digesu Giuseppe Alessandro
机构信息
St Mary's Hospital, Imperial College NHS Trust, London, UK.
出版信息
Int Urogynecol J. 2020 May;31(5):865-870. doi: 10.1007/s00192-019-04186-3. Epub 2019 Dec 18.
Abstract
The ideal treatment for overactive bladder is still elusive. In those where medication fails to improve symptoms options include invasive treatments such as botulinum toxin-A, sacral neural stimulation or posterior tibial nerve stimulation. Scientific professional society guidelines advise percutaneous posterior tibial nerve stimulation as a third line treatment option only after multi-disciplinary team review as well as failure of both conservative and pharmacological management. The aim of this article is to review all techniques for tibial nerve stimulation and their efficacy.
摘要
膀胱过度活动症的理想治疗方法仍难以捉摸。对于那些药物治疗无法改善症状的患者，治疗选择包括侵入性治疗，如肉毒杆菌毒素A、骶神经刺激或胫后神经刺激。科学专业协会指南建议，经皮胫后神经刺激仅作为三线治疗选择，且需经过多学科团队评估以及保守治疗和药物治疗均失败之后方可采用。本文旨在综述胫神经刺激的所有技术及其疗效。
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