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胫骨神经刺激治疗膀胱过度活动症:最新应用的技术特点。

Tibial nerve stimulation in the treatment of overactive bladder syndrome: technical features of latest applications.

机构信息

RadboudUMC, Nijmegen.

Rijnstate, Arnhem, The Netherlands.

出版信息

Curr Opin Urol. 2020 Jul;30(4):513-518. doi: 10.1097/MOU.0000000000000781.

DOI:10.1097/MOU.0000000000000781
PMID:32452995
Abstract

PURPOSE OF REVIEW

Overactive bladder syndrome (OAB) is a chronic condition, which can be treated by tibial nerve stimulation. The present review will focus on the technical aspects, advantages, drawbacks, and limitations of the latest available applications of posterior tibial nerve stimulation.

RECENT FINDINGS

We describe the technical aspects of recent developed implants and techniques of tibial nerve stimulation in a transcutaneous, percutaneous, and minimal invasive way. All different treatment options have advantages and disadvantages based on type of surgery, energy transfer, impedance, treatment setting options, risk of migration, and patient usability, which are described in this review. Only devices with data that are publicly available were included.

SUMMARY

New technologies are on their way in the field of tibial nerve stimulation for the treatment of OAB. Technical aspects are important to demonstrate safety and efficacy and user friendliness in order to obtain high acceptance of the various devices.

摘要

目的综述

膀胱过度活动症(OAB)是一种慢性疾病,可以通过胫神经刺激来治疗。本综述将重点介绍胫神经刺激最新应用的技术方面、优点、缺点和局限性。

最新发现

我们描述了经皮、经皮和微创胫神经刺激最近开发的植入物和技术的技术方面。根据手术类型、能量传递、阻抗、治疗设置选项、迁移风险和患者可用性,所有不同的治疗选择都有其优点和缺点,本文对此进行了描述。本综述仅纳入了具有公开数据的设备。

总结

治疗 OAB 的胫神经刺激领域正在出现新技术。技术方面对于展示安全性和有效性以及用户友好性很重要,以便各种设备能够得到广泛接受。

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引用本文的文献

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Real-time changes in brain activity during tibial nerve stimulation for overactive bladder: Evidence from functional near-infrared spectroscopy hype scanning.膀胱过度活动症患者胫神经刺激期间脑活动的实时变化:来自功能近红外光谱超扫描的证据
Front Neurosci. 2023 Apr 5;17:1115433. doi: 10.3389/fnins.2023.1115433. eCollection 2023.
2
Feasibility of a Transcutaneous Tibial Nerve Stimulation Device Use in Overactive Bladder Patients: A Pilot Study From a Single Tertiary Care Center.经皮胫神经刺激装置用于膀胱过度活动症患者的可行性:来自单一三级医疗中心的一项初步研究。
Front Neurol. 2022 Apr 13;13:872200. doi: 10.3389/fneur.2022.872200. eCollection 2022.
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Posterior Tibial Nerve Stimulation for Overactive Bladder: Mechanism, Classification, and Management Outlines.
胫后神经刺激治疗膀胱过度活动症:作用机制、分类及管理概述
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