Duckro P N, Purcell M, Gregory J, Schultz K
Biofeedback Self Regul. 1985 Dec;10(4):325-33. doi: 10.1007/BF00999262.
The case of a 7-year-old boy born with exstrophy of the bladder is presented. Biofeedback and behavioral therapy were employed in the treatment of anal incontinence, which occurred following ureterosigmoidostomy diversion. After 19 treatment and follow-up sessions over a period of 12 months, there was significant decrease in fecal/urinary incontinence. The patient was soiled 29% of waking hours over the first 4 weeks of treatment. This figure dropped to 9.7% over the last three sessions. Subjective satisfaction of parent, child, and teachers was high. These gains were maintained over a 12-month follow-up period. Given the design of the present study, it is not possible to determine whether the biofeedback per se had a specific treatment effect. The case demonstrates the usefulness of a broad-based behavior therapy in the management of fecal/urine soiling, which is a frequent, refractory complication of ureterosigmoidostomy.
本文介绍了一名患有膀胱外翻的7岁男孩的病例。生物反馈和行为疗法用于治疗输尿管乙状结肠造口术后出现的肛门失禁。在12个月的时间里进行了19次治疗和随访后，粪便/尿液失禁明显减少。在治疗的前4周，患者清醒时间中有29%会弄脏衣物。在最后三次治疗中，这一数字降至9.7%。家长、孩子和老师的主观满意度很高。这些改善在12个月的随访期内得以维持。鉴于本研究的设计，无法确定生物反馈本身是否具有特定的治疗效果。该病例表明，基础广泛的行为疗法在管理粪便/尿液污染方面是有用的，而粪便/尿液污染是输尿管乙状结肠造口术常见的难治性并发症。
